blog banner


Diafragmoplastia con parche en el hidrotórax hepático debido a fístula pleuroperitoneal. Diaphragmoplasty with Patch on the Hepatic Hydrothorax due to. A presença de derrame pleural na vigência de cirrose hepática e ascite documentadas facilitam o diagnóstico de hidrotórax hepático. Entretanto, alguns casos. Uso de contraste radiológico intraperitoneal para diagnóstico de hidrotórax hepático. Using intraperitoneal contrast in X-ray study in the diagnosis of hepatic .

Author: Yolkis Zologore
Country: Nepal
Language: English (Spanish)
Genre: Art
Published (Last): 8 May 2013
Pages: 123
PDF File Size: 2.91 Mb
ePub File Size: 14.73 Mb
ISBN: 930-2-83069-458-2
Downloads: 84041
Price: Free* [*Free Regsitration Required]
Uploader: Vorn

Expandable intrahepatic portocaval shunt stents: No recurrence of hydrothorax or ascites has occurred within six months of discharge with a 25 mg dose of aldactone daily.

The succesful treatment of symptomatic, refractory hepatic hydrothorax with transjugular intrahepatic portosystemic shunt. In our case, the presence of pleural exudate with positive culture for coagulase-positive Staphylococcus aureus was interpreted as empyema secondary to previous procedures.

Hepatic hydrothorax in the absence of ascites. Treatment of hepatic hydrothorax and reducion of chest tube output with octreotide. Determinants of mortality in patients with advanced cirrhosis after transjugular intrahepatic portosystemic shunting.

Undiagnosed pleural effusion

The fourth hepstico showed partial response with a hidrororax in the need to perform thoracocentesis and the fifth patient showed no response to IPS and died after 17 days of follow-up.

Are you a health professional able to prescribe or dispense drugs? TIPS versus endoscopic sclerotherapy for the prevention of variceal rebleeding after recent variceal hemorrhage. Although it is a safe, little-invasive and efficient procedure, it has two major inconveniences: Clinical events after transjugular intrahepatic portosystemic shunt. Am J Gastroenterol ; TIPS and cardiac arrythmias.



Hepatic hydrothorax; pleural effusion; cirrhosis; transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol ;7: It is a monthly Journal that publishes a total of 12 issues, which contain these types of articles to different extents. Pleural effusion is usually a transudate. Hepatology, 26pp.

TIPS – transjugular intrahepatic portosystemic shunt. A review

Cardiopulmonary disease, as well as infectious disease, tuberculosis and pleural or lung cancer were excluded as the cause of the pleural effusion. Show all Show less. Pharmacologic therapy of portal hypertension and variceal hemorrhage. J Vasc Interv Radiol ;4: Se continuar a navegar, consideramos que aceita o seu uso.

Physical examination showed decreased breath sounds over the right inferior hemithorax. A subsequent review of the patient and radiological follow-up found no recurrence of symptoms, pleural effusion or ascites Keywords: Histopathologic study of stenotic and occluded TIPS. After pleurodesis failure, and with hemodynamic evidence of mild portal hypertension hepatic venous pressure gradient: Transjugular intrahepatic portal systemic shunt for the management of symptomatic cirrhotic hydrothorax.

However, this treatment has a high morbimortality rate as it is an invasive technique and it is usually performed in severely debilitated patients 16, Three patients showed complete response to the treatment, of whom 1 underwent transplantation 20 days later. Doppler ultrasound revealed signs of chronic liver disease without morphologic nor hemodynamic signs of portal hypertension, mild ascites and right pleural effusion.

Acetylsalicylic acid in the prevention of early stenosis and occlusion of TIPS: Aliment Pharmacol Ther ; The Journal is published both in Spanish and English.


Two patients presented recurrence with reappearance of hydrothorax due to shunt dysfunction and 2 patients presented hepatic encephalopathy that responded to medical treatment. Albumin hepatido and Child classification remained unchanged.

Acute and chronic complications after implantation of a TIPS – a prospective study in 53 patients.

It has also been reported to facilitate chest tube removal 15, January Pages TIPS for the manangement of hepatic hydrothorax in the abscence of ascites. Pathogenesis and treatment of hydrothorax complicating cirrhosis with ascites.

J Vasc Interv Radiol ;8: J Clin Gastroenterol ; Refractory hepatic hydrothorax can be controlled by IPS in a large number of patients but its efficacy is restricted by shunt dysfunction, the risk of encephalopathy and by its limited effect on survival.

SRJ is a prestige metric based on the idea that not all citations are the same. Show all Hepatioc less. The procedure was unsuccessful maintaining high chest tube drainage that did not allow hidrotrax tube removal. Incidence of shunt occlusion or stenosis following TIPS placement. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Treatment with octreotide was justified as it has the same effect as TIPS hepaticp reducing portosystemic pressure gradient.

Liver, 18pp.