de Oliveira e Silva A, Cardoso E S, de Melo C R, dos Santos T E, Mourão G S, Meniconi M T, Santos Júnior E D, Copstein J L, D'Albuquerque L A
Departamento de Gastroenterologia da Faculdade de Medicina da Universidade de São Paulo.
Arq Gastroenterol. 1996 Oct-Dec;33(4):201-6.
Transjugular intrahepatic portosystemic shunts (TIPS) represents a new surgical technique minimally invasive utilized in the treatment of portal hypertension. Such technique avoid the risks of general anesthesia, and major surgery like portocava anastomosis, reducing the hepatic-portal gradient, and help bleeding esophagogastric varices, hemorrhagic congestive gastropathy and refractary ascites. Certainly diminishes the intensity of intraperitoneal colorectal circulation and the necessity of blood transfusion during surgery for liver transplantation. In this report we reported the first case in Brazil of the implant of TIPS like preparation for liver transplantation in cirrhotic alcoholic patient. We made consideration about techniques aspects and surgery evolution. This new interesting technique applied for this type of patients is indicated as a bridge for candidates for liver transplantation.
经颈静脉肝内门体分流术（TIPS）是一种用于治疗门静脉高压的微创新型外科技术。该技术避免了全身麻醉和诸如门腔静脉吻合术等大手术的风险，降低了肝门静脉压力梯度，并有助于治疗食管胃静脉曲张出血、出血性充血性胃病和难治性腹水。当然，它还减少了肝移植手术期间腹腔内结肠循环的强度以及输血的必要性。在本报告中，我们报道了巴西首例为肝硬化酒精性患者植入TIPS作为肝移植准备的病例。我们对技术方面和手术进展进行了思考。这种应用于这类患者的新型有趣技术被视为肝移植候选者的桥梁。
