Abstract | BACKGROUND AND AIMS: METHODS: This was a retrospective study including patients with refractory hydrothorax undergoing TIPS in a tertiary hospital in the period between 2000 and 2014, and evaluated the following: demographic characteristics, liver disease, and outcomes (efficacy and safety, including complications after TIPS, liver transplantation, 30-day, and 1-year mortality). RESULTS: Nineteen patients with hydrothorax underwent TIPS; most had previously undergone multiple thoracocentesis and all had hypoalbuminemia. In all, 57.9% of the patients were men, with a mean age 63±9 years, and 84.2% had cirrhosis of alcoholic etiology and a mean Model for End-Stage Liver Disease-16, Child-Pugh B in 42.1%/Child-Pugh C in 47.4%. TIPS was effective in 73.3% of the cases. Portosystemic encephalopathy was recorded in 66.6% of the cases. Mortality was 25% at 30 days and 42.8% at 1 year with septic complications or progression of liver disease. Two patients underwent liver transplantation. The mean follow-up duration was 704 days (3-3485 days). CONCLUSION:
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Authors | Sara Campos, Dário Gomes, Carlos Sofia |
Journal | European journal of gastroenterology & hepatology
(Eur J Gastroenterol Hepatol)
Vol. 28
Issue 6
Pg. 661-6
(Jun 2016)
ISSN: 1473-5687 [Electronic] England |
PMID | 27002676
(Publication Type: Journal Article)
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Topics |
- Aged
- End Stage Liver Disease
- Female
- Follow-Up Studies
- Hepatic Encephalopathy
(etiology)
- Humans
- Hydrothorax
(etiology, surgery)
- Hypertension, Portal
(complications, surgery)
- Hypoalbuminemia
(etiology)
- Liver Cirrhosis
(complications, surgery)
- Liver Cirrhosis, Alcoholic
(complications, surgery)
- Liver Transplantation
(statistics & numerical data)
- Male
- Middle Aged
- Mortality
- Portasystemic Shunt, Transjugular Intrahepatic
(methods)
- Postoperative Complications
(epidemiology)
- Retrospective Studies
- Treatment Outcome
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