Transjugular Intrahepatic Portosystemic Shunt in patients after orthotopic liver transplantation (OLTx) due to life threatening gastrointestinal hemorrhage. A single-center experience based on three cases and literature review

• Authors: Magdalena Januszewicz , Inga Włodarczyk-Pruszyńska , Krzysztof Milczarek , Katarzyna Rowińska-Berman , Krzysztof Zieniewicz , Tadeusz Wróblewski , Olgierd Rowiński

Abstracts

EN

Background: Transjugular intrahepatic portosystemic shunt system (TIPS) is a well-recognized method of treatment of symptomatic portal hypertension in patients awaiting liver transplantation. The effectiveness of TIPS treatment in patients after liver transplantation is still not fully established. Indications for both groups of patients, with and without liver graft, are similar and include bleeding from gastrointestinal varices, ascites, pleural effusion, and Budd-Chiari syndrome. Feasibility of TIPS in emergency treatment in patients after OLTx due to life-threatening hemorrhage is not well described. Materials and methods: Patients, after OLTx performed using classical, non-piggyback technique had severe hemorrhages from gastrointestinal varices due to lost graft function. Patients were in an unstable condition, required blood transfusions on admittance and monitoring in Intensive Care Unit. TIPS were implanted urgently, after unsuccessful endoscopic treatment, as a life-saving procedure. Results: In all cases, the procedure was successfully completed. The bleeding did not reoccur during the postoperative course. Conclusion: TIPS procedure appears to be justified as a bridge to a planned retransplantation, or as a treatment of choice in patients disqualified from retransplantation. Emergency performance of the TIPS procedure as a treatment for acute variceal bleeding should still be considered individually for each patient and only as a procedure leading to further treatment.

Keywords

EN

Transjugular Portasystemic Shunt; variceal bleeding; OLTx; graft dysfunction

• Journal: Polish Journal of Surgery
• Year: 2019
• Volume: 91(2)
• Pages: 38-44

Dates

published

2018-12-10

Contributors

author

Magdalena Januszewicz

author

Inga Włodarczyk-Pruszyńska

author

Krzysztof Milczarek

author

Katarzyna Rowińska-Berman

author

Krzysztof Zieniewicz

author

Tadeusz Wróblewski

author

Olgierd Rowiński

Identifiers

DOI

10.5604/01.3001.0012.7791