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门静脉高压症患者行经颈静脉肝内门体分流术(TIPS)后发生的胆道梗阻

Biliary Obstruction following Transjugular Intrahepatic Portosystemic Shunt Creation in Patients with Variceal Bleeding.

作者信息

Meng Jiaxiang, Yang Shuofei, Ding Weiwei, He Changsheng, Wu Xingjiang

机构信息

Department of General Surgery Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.

Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Zhongshan Road, Nanjing 210002, Jiangsu Province, China.

出版信息

J Vasc Interv Radiol. 2016 Apr;27(4):558-61. doi: 10.1016/j.jvir.2015.12.757.

DOI:10.1016/j.jvir.2015.12.757
PMID:27013003
Abstract

This report describes an unusual complication after creation of a transjugular intrahepatic portosystemic shunt (TIPS). Biliary obstruction developed in two patients with portal hypertension accompanied by portal vein thrombosis, one patient with and the other without portal cavernous transformation. The biliary obstruction was thought to be secondary to compression of the bile duct by the stent graft placed in the TIPS. Awareness of this possible complication is important for its early diagnosis.

摘要

本报告描述了经颈静脉肝内门体分流术(TIPS)术后一种罕见的并发症。两名门静脉高压伴门静脉血栓形成的患者出现了胆管梗阻,其中一名患者伴有门静脉海绵样变性,另一名患者没有。胆管梗阻被认为是由于TIPS置入的支架移植物压迫胆管所致。认识到这种可能的并发症对于早期诊断很重要。

相似文献

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Biliary Obstruction following Transjugular Intrahepatic Portosystemic Shunt Creation in Patients with Variceal Bleeding.门静脉高压症患者行经颈静脉肝内门体分流术(TIPS)后发生的胆道梗阻
J Vasc Interv Radiol. 2016 Apr;27(4):558-61. doi: 10.1016/j.jvir.2015.12.757.
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Shunting branch of portal vein and stent position predict survival after transjugular intrahepatic portosystemic shunt.门静脉分流支和支架位置可预测经颈静脉肝内门体分流术后的生存情况。
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引用本文的文献

1
Biliary obstruction following transjugular intrahepatic portosystemic shunt placement in a patient after liver transplantation: A case report.肝移植术后患者经颈静脉肝内门体分流术放置后出现的胆道梗阻:一例报告。
World J Hepatol. 2022 May 27;14(5):1038-1046. doi: 10.4254/wjh.v14.i5.1038.
2
Covered TIPS Procedure-Related Major Complications: Incidence, Management and Outcome From a Single Center.覆膜经颈静脉肝内门体分流术相关主要并发症:单中心的发生率、处理及结局
Front Med (Lausanne). 2022 May 4;9:834106. doi: 10.3389/fmed.2022.834106. eCollection 2022.