Complete splenic embolization for the treatment of refractory ascites after liver transplantation
نویسندگان
چکیده
منابع مشابه
Splenic artery embolization for the treatment of refractory ascites after liver transplantation.
Refractory ascites (RA) is a challenging complication after orthotopic liver transplantation. Its treatment consists of the removal of the precipitating factors. When the etiology is unknown, supportive treatment can be attempted. In severe cases, transjugular intrahepatic portosystemic shunts, portocaval shunts, and liver retransplantation have been used with marginal results. Recently, spleni...
متن کاملSplenic Artery Embolization for Treatment of Refractory Ascites After Liver Transplantation
Post-transplantation refractory ascites is uncommon; however, it can be a serious problem, increasing both morbidity and mortality in patients. Despite scant literature available, splenic artery embolization (SAE) has been shown to be an effective treatment for refractory ascites after cadaveric orthotopic liver transplantation (OLT). We report a successful use of therapeutic SAE for refractory...
متن کاملUltrafiltration for intractable ascites after liver transplantation.
A 5.7 year old boy with alpha 1-antitrypsin deficiency developed intractable ascites after liver transplantation. Conservative treatment was unsuccessful and after 18 days concentrated ascitic fluid was reinfused intravenously using a Gambro haemofilter. The ascitic loss resolved rapidly. This new method of ultrafiltration proved simple and effective.
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When the platelet count falls below 20×10(9)/L, the risk of spontaneous life threatening hemorrhage is concerning for both physician and patient. When medical management fails, splenectomy is often used to manage the severe thrombocytopenia before spontaneous, life-threatening gastrointestinal or intracranial bleeding occurs. We present the non surgical management of such a patient with refract...
متن کاملRefractory ascites after liver transplantation: an analysis of 1058 liver transplant patients at a single center.
A retrospective study of 1058 liver transplant recipients was performed to determine: (i) the incidence, etiology, timing, clinical features and treatment of refractory ascites (RA), (ii) risk factors for RA development, (iii) predictors of RA disappearance, (iv) predictors of survival following RA and (v) the impact of RA on patient survival. Sixty-two patients (5.9%) developed RA and its disa...
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ژورنال
عنوان ژورنال: Revista Española de Enfermedades Digestivas
سال: 2018
ISSN: 1130-0108
DOI: 10.17235/reed.2018.5338/2017