Details

Autor(en) / Beteiligte

• Ochs, Andreas
• Rössle, Martin
• Haag, Klaus
• Hauenstein, Karl-Heinz
• Deibert, Peter
• Siegerstetter, Volker
• Huonker, Martin
• Langer, Mathias
• Blum, Hubert E

Titel

The Transjugular Intrahepatic Portosystemic Stent–Shunt Procedure for Refractory Ascites

Ist Teil von

• The New England journal of medicine, 1995-05, Vol.332 (18), p.1192-1197

Ort / Verlag

Boston, MA: Massachusetts Medical Society

Erscheinungsjahr

1995

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• Refractory ascites is the complication of portal hypertension that most severely affects both quality of life and long-term survival. 1 – 5 Depending on the patient's general clinical state and whether there are additional complications, such as renal insufficiency and variceal bleeding, the rate of survival at one year is 20 to 50 percent. 6 – 9 Survival has not been improved significantly by either paracentesis 7 , 10 , 11 or peritoneovenous shunting. 12 – 18 Portal hypertension is a major contributor to ascites formation, and decompression of the portal vein by surgical shunts is a plausible treatment. 19 – 22 However, the procedure has not been shown to improve . . .