The transjugular intrahepatic portosystemic shunt.

J M Pisco, J M Martins, V Garcia, M G Correia, M L Figueiredo, N Jalles, J M Freitas, F C Leal


The case of a 66-year-old woman with several episodes of hemorrhage by esophageal varices and ascites due to portal hypertension is presented. Despite 4 sessions of endoscopic sclerotherapy bleeding recurred. A transjugular intrahepatic portosystemic shunt was performed. In the 10 months following the intervention, there was no further hemorrhage, the ascites disappeared and the shunt is open.

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