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[Liver transplantation after surgical shunt or transjugular intrahepatic portasystemic shunt].
Radiologe. 1994 Apr; 34(4):187-90.R

Abstract

The goal of this study was to assess the influence of prior treatment of bleeding esophageal varices on liver transplantation. After sclerotherapy the results of liver transplantation were identical to those achieved in patients without previous variceal hemorrhage (74% 1-year survival). The results of liver transplantation to patients who already had surgical shunts were dismal. Four of nine patients with portocaval or Warren shunts were long-term survivors. In comparison, the intraoperative course in five patients with transjugular intrahepatic portosystemic stent shunts (TIPSS) was uneventful and four of these were long-term survivors. This has led us to adopt TIPSS as the treatment modality of choice for patients with bleeding varices awaiting liver transplantation.

Authors+Show Affiliations

Otto G
Chirurgische Universitätsklinik, Heidelberg.
Datsis K
No affiliation info available
Richter G
No affiliation info available
Senninger N
No affiliation info available
Theilmann L
No affiliation info available
Herfarth C
No affiliation info available

MeSH

AdultAgedCatheterizationCause of DeathEsophageal and Gastric VaricesFemaleFollow-Up StudiesGastrointestinal HemorrhageHepatic VeinsHumansHypertension, PortalLiver TransplantationMaleMiddle AgedPortacaval Shunt, SurgicalPortal VeinPortasystemic Shunt, SurgicalPostoperative ComplicationsReoperationSclerotherapyStentsSurvival Rate

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

8052711

Citation

Otto, G, et al. "[Liver Transplantation After Surgical Shunt or Transjugular Intrahepatic Portasystemic Shunt]." Der Radiologe, vol. 34, no. 4, 1994, pp. 187-90.
Otto G, Datsis K, Richter G, et al. [Liver transplantation after surgical shunt or transjugular intrahepatic portasystemic shunt]. Radiologe. 1994;34(4):187-90.
Otto, G., Datsis, K., Richter, G., Senninger, N., Theilmann, L., & Herfarth, C. (1994). [Liver transplantation after surgical shunt or transjugular intrahepatic portasystemic shunt]. Der Radiologe, 34(4), 187-90.
Otto G, et al. [Liver Transplantation After Surgical Shunt or Transjugular Intrahepatic Portasystemic Shunt]. Radiologe. 1994;34(4):187-90. PubMed PMID: 8052711.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Liver transplantation after surgical shunt or transjugular intrahepatic portasystemic shunt]. AU - Otto,G, AU - Datsis,K, AU - Richter,G, AU - Senninger,N, AU - Theilmann,L, AU - Herfarth,C, PY - 1994/4/1/pubmed PY - 1994/4/1/medline PY - 1994/4/1/entrez SP - 187 EP - 90 JF - Der Radiologe JO - Radiologe VL - 34 IS - 4 N2 - The goal of this study was to assess the influence of prior treatment of bleeding esophageal varices on liver transplantation. After sclerotherapy the results of liver transplantation were identical to those achieved in patients without previous variceal hemorrhage (74% 1-year survival). The results of liver transplantation to patients who already had surgical shunts were dismal. Four of nine patients with portocaval or Warren shunts were long-term survivors. In comparison, the intraoperative course in five patients with transjugular intrahepatic portosystemic stent shunts (TIPSS) was uneventful and four of these were long-term survivors. This has led us to adopt TIPSS as the treatment modality of choice for patients with bleeding varices awaiting liver transplantation. SN - 0033-832X UR - https://www.unboundmedicine.com/medline/citation/8052711/[Liver_transplantation_after_surgical_shunt_or_transjugular_intrahepatic_portasystemic_shunt]_ DB - PRIME DP - Unbound Medicine ER -