Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the Stent
Transjugular intrahepatic portosystemic shunt (TIPS) placement is a new technique allowing decompression of the portal system without the need for abdominal surgery or general anesthetic. This promising procedure appears safe, and is being evaluated in the context of life threatening uncontrollable...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
1994-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1994/670464 |
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| _version_ | 1849307479736844288 |
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| author | Daphna Fenyves Michel P Dufresne Jean Raymond Michel Lafortune Bernard Willems Gilles Pomier-Layrargues |
| author_facet | Daphna Fenyves Michel P Dufresne Jean Raymond Michel Lafortune Bernard Willems Gilles Pomier-Layrargues |
| author_sort | Daphna Fenyves |
| collection | DOAJ |
| description | Transjugular intrahepatic portosystemic shunt (TIPS) placement is a new technique allowing decompression of the portal system without the need for abdominal surgery or general anesthetic. This promising procedure appears safe, and is being evaluated in the context of life threatening uncontrollable variceal hemorrhage as well as ascites refractory to medical treatment. Following TIPS, portal flow diversion is associated with hepatic encephalopathy in up to 25% of patients. This is most often mild and treatable but may become uncontrollable, incapacitating and even life threatening in up to 3 to 5% of cases. The authors present two patients in whom such life threatening encephalopathy and stupor was reversed by transjugular balloon occlusion of the TIPS. |
| format | Article |
| id | doaj-art-2b6b01a3aa814f38a73a243a85e0eb8d |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1994-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-2b6b01a3aa814f38a73a243a85e0eb8d2025-08-20T03:54:43ZengWileyCanadian Journal of Gastroenterology0835-79001994-01-0182758010.1155/1994/670464Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the StentDaphna Fenyves0Michel P Dufresne1Jean Raymond2Michel Lafortune3Bernard Willems4Gilles Pomier-Layrargues5Liver Unit and Department of Radiology, Hôpital Saint-Luc and Université de Montréal, Montreal, Quebec, CanadaLiver Unit and Department of Radiology, Hôpital Saint-Luc and Université de Montréal, Montreal, Quebec, CanadaLiver Unit and Department of Radiology, Hôpital Saint-Luc and Université de Montréal, Montreal, Quebec, CanadaLiver Unit and Department of Radiology, Hôpital Saint-Luc and Université de Montréal, Montreal, Quebec, CanadaLiver Unit and Department of Radiology, Hôpital Saint-Luc and Université de Montréal, Montreal, Quebec, CanadaLiver Unit and Department of Radiology, Hôpital Saint-Luc and Université de Montréal, Montreal, Quebec, CanadaTransjugular intrahepatic portosystemic shunt (TIPS) placement is a new technique allowing decompression of the portal system without the need for abdominal surgery or general anesthetic. This promising procedure appears safe, and is being evaluated in the context of life threatening uncontrollable variceal hemorrhage as well as ascites refractory to medical treatment. Following TIPS, portal flow diversion is associated with hepatic encephalopathy in up to 25% of patients. This is most often mild and treatable but may become uncontrollable, incapacitating and even life threatening in up to 3 to 5% of cases. The authors present two patients in whom such life threatening encephalopathy and stupor was reversed by transjugular balloon occlusion of the TIPS.http://dx.doi.org/10.1155/1994/670464 |
| spellingShingle | Daphna Fenyves Michel P Dufresne Jean Raymond Michel Lafortune Bernard Willems Gilles Pomier-Layrargues Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the Stent Canadian Journal of Gastroenterology |
| title | Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the Stent |
| title_full | Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the Stent |
| title_fullStr | Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the Stent |
| title_full_unstemmed | Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the Stent |
| title_short | Successful Reversal of Chronic Incapacitating Post-TIPS Encephalopathy by Balloon Occlusion of the Stent |
| title_sort | successful reversal of chronic incapacitating post tips encephalopathy by balloon occlusion of the stent |
| url | http://dx.doi.org/10.1155/1994/670464 |
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