Role of trans jugular intra-hepatic Porto-systemic shunt (tips) in the management of refractory hepatic ascites and rebleeding varices
العناوين الأخرى
دور التحويلة داخل الكبد بين دورة الوريد البابي و الدورة النظامية من خلال الوريد الودجي في علاج الاستسقاء الكبدي المستعصي و نزيف الدوالي المتكرر
المؤلفون المشاركون
Abu Rahmah, Muhammad Zakariyya Ali
Sayf, Hani Muhammad Abd al-Hakim
al-Waraqi, Muhammad
Abd al-Munim, Suha Suud
Hamid, Muhammad Mustafa
Mahmud, Sad Zaki
Suwayfi, Yusuf Muhammad
المصدر
العدد
المجلد 39، العدد 1 (31 يناير/كانون الثاني 2015)، ص ص. 15-22، 8ص.
الناشر
تاريخ النشر
2015-01-31
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Introduction: The two major complications of portal hypertension are refractory hepatic ascites and rebleeding esophageal varices.
TIPS procedure was invented to relief complications of portal hypertension until liver transplantation is available.
Aim: measure the efficacy and role of transjugular intrahepatic portosystemic shunt (TIPS) in the treatment ٠/ variceal rebleeding and refractory hepatic ascites.
Patients: Seventy one patients were evaluated for TIPS insertion.
Patients in this study were selected among patients who were suffering from refractory hepatic ascites and recurrent hematemesis due to variceal bleeding.
Methods: All cases were subjected to history taking, general, abdominal examination, and investigations including imaging studies.
Inclusion criteria for patients with rebleeding varices were failure to prevent rebleeding from esophagogastric varices after a trial ٠/ medical and /or endoscopic secondary prevention.
Inclusion criteria for patients with refractory hepatic ascites was lack of response to Na restriction & intensive diuretic treatment for at least / wk (<0.8kg/4d) or development of diuretic induced complications with the need to therapeutic paracentesis.
We selected patients who suffered from tense ascites and more than 3 therapeutic paracentesis per month.
Results: The ages ofthe 71 patients ranged between 15 and 70 year's.
Sixty two percent of these patients were males.
The main etiology of cirrhosis in our patients was chronic hepatitis c infection.
The main indication for TIPS among the patients of this study was refractory ascites in 42 patients (59%).
Success rate ofthe procedure was 83.1%.
Seventy five percent (75%) of patients in this study with refractory ascites had a better clinical and sonographic grade of ascites, improved quality of life and less diuretic dose.
Reduction of variceal size by endoscopy occurred in (84.6%)) of patients.
Complete endoscopic disappearance of varices occurred in 12.8% of patients (5 patients out of 39).
Conclusion: TIPS procedure is an effective intervention in management ٠/ rebleeding varices and refractory hematic ascites with a good success rate and limited complications.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Abu Rahmah, Muhammad Zakariyya Ali& Suwayfi, Yusuf Muhammad& Mahmud, Sad Zaki& Sayf, Hani Muhammad Abd al-Hakim& Hamid, Muhammad Mustafa& al-Waraqi, Muhammad…[et al.]. 2015. Role of trans jugular intra-hepatic Porto-systemic shunt (tips) in the management of refractory hepatic ascites and rebleeding varices. Assiut Medical Journal،Vol. 39, no. 1, pp.15-22.
https://search.emarefa.net/detail/BIM-646018
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Abu Rahmah, Muhammad Zakariyya Ali…[et al.]. Role of trans jugular intra-hepatic Porto-systemic shunt (tips) in the management of refractory hepatic ascites and rebleeding varices. Assiut Medical Journal Vol. 39, no. 1 (Jan. 2015), pp.15-22.
https://search.emarefa.net/detail/BIM-646018
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Abu Rahmah, Muhammad Zakariyya Ali& Suwayfi, Yusuf Muhammad& Mahmud, Sad Zaki& Sayf, Hani Muhammad Abd al-Hakim& Hamid, Muhammad Mustafa& al-Waraqi, Muhammad…[et al.]. Role of trans jugular intra-hepatic Porto-systemic shunt (tips) in the management of refractory hepatic ascites and rebleeding varices. Assiut Medical Journal. 2015. Vol. 39, no. 1, pp.15-22.
https://search.emarefa.net/detail/BIM-646018
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 20-21
رقم السجل
BIM-646018
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر