Hyponatremia: A Risk Factor for Early Overt Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt Creation

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Hyponatremia: A Risk Factor for Early Overt Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt Creation

Hepatic encephalopathy (HE) is a frequent complication in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt (TIPS). Hyponatremia (HN) is a known contributing risk factor for the development of HE. Predictive factors, especially the effect of HN, for the development of overt HE within one week of TIPS placement were assessed. A single-center, retrospective chart review ...

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Transjugular intrahepatic portosystemic shunt.

The transjugular intrahepatic portosystemic shunt (TIPS) is an interventional treatment resulting in decompression of the portal system by creation of a side-to-side portosystemic anastomosis. Since its introduction 16 years ago, more than 1,000 publications have appeared demonstrating broad acceptance and increasing clinical use. This review summarizes our present knowledge about technical asp...

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Risk factors for hepatic encephalopathy after transjugular intrahepatic portosystemic shunt placement in cirrhotic patients

Introduction: Hepatic encephalopathy (HE) is a frequent consequence of transjugular intrahepatic portosystemic shunt (TIPS) placement and a major cause of morbidity, mortality and healthcare utilization in cirrhotic patients. The prevention of post-TIPS HE is mainly achieved by a careful selection of patients before the procedure. A relationship between the occurrence of HE and a low post-TIPS ...

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Transjugular Intrahepatic portosystemic shunt (TIps)

459 Most of the morbidity associated with chronic liver disease results from the development of portal hypertension and its sequelae. Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive method of creating a portosystemic shunt that can effectively decompress the hypertensive portal circulation and treat its complications. Introduced more than a decade ago, the procedure...

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Transjugular Intrahepatic Portosystemic Shunt (TIPS)

Surgery for portal hypertension began in 1877, with Nicolai Vladirmirovich who performed the fi rst portacaval anastomosis. There was little clinical success until Blakemore and Whipple between the 1920’s and 1940’s: the mortality rate ranged from 25-40%. Hepatic encephalopathy was a clinical problem. In 1960, Warren and collegues performed a distal splenorenal shunt, which reduced the incidenc...

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ژورنال

عنوان ژورنال: Journal of Clinical Medicine

سال: 2014

ISSN: 2077-0383

DOI: 10.3390/jcm3020359