Lege Artis Medicinae

[MERCURY I]

NAGY Viktor

NOVEMBER 20, 2005

Lege Artis Medicinae - 2005;15(11)

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[If Time is Money, do not Spend that of Others!]

MATOS Lajos

Lege Artis Medicinae

[The Visuality Alphabet]

FERENCZI Andrea

Lege Artis Medicinae

[MANAGEMENT OF LIFE-THREATENING ENDOSCOPIC THERAPY-RESISTENT OESOPHAGUS VARICEAL BLEEDING]

ERŐSS Bálint Mihály, SZÉKELY György, SIKET Ferenc, LÁZÁR István

[INTRODUCTION - Liver cirrhosis has two serious consequences: hepatic failure and portal hypertension. Portal hypertension has two important clinical appearances: variceal bleeding and therapy resistant ascites. Variceal bleeding can be recurrent and resistant to endoscopic treatment. These complications can be prevented by implantation of Transjugular Intrahepatic Portosystemic Shunt (TIPS). CLINICAL CASE - A 59 year old male with cirrhosis due to hepatitis C, was hospitalized in our department in April 2004 with variceal bleeding. We tried to control the bleeding twice by band ligation, once by sclerotherapy and with the use of Sengstaken-Blakemore tube, but bleeding continued for three weeks despite the endoscopic treatment. The patient needed intensive care therapy and was treated with more than forty units of packed red cells and plasma. At that point we decided to implant a TIPS, which was carried out succesfully. After TIPS implantation no rebleeding occured and the shunt had good patency. Moderate hepatic encephalopathy was observed, which is a well known phenomenon, but it could be treated with pharmacologic therapy. CONCLUSIONS - In case of portal hypertension TIPS implantation can prevent from variceal rebleedings and may caus significant improvement in the quality of life.]

Lege Artis Medicinae

[Just as frail…]

VÁRADI András

Lege Artis Medicinae

[That Day and That Evening]

PINTÉR László

All articles in the issue

Related contents

Lege Artis Medicinae

[Reduction in cholesterol using rosuvastatin therapy - MERCURY II trial]

NAGY Viktor