Biliary obstruction following transjugular intrahepatic portosystemic shunt placement in a patient after liver transplantation: A case report
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F22%3A10446529" target="_blank" >RIV/00179906:_____/22:10446529 - isvavai.cz</a>
Alternative codes found
RIV/00023001:_____/22:00082691
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=3OU3gdt5II" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=3OU3gdt5II</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.4254/wjh.v14.i5.1038" target="_blank" >10.4254/wjh.v14.i5.1038</a>
Alternative languages
Result language
angličtina
Original language name
Biliary obstruction following transjugular intrahepatic portosystemic shunt placement in a patient after liver transplantation: A case report
Original language description
BACKGROUND Transjugular intrahepatic portosystemic shunt (TIPS) is a method used to decrease portal hypertension. Biliary stricture is the rarest of the complications associated with this procedure with only 12 cases previously reported in the literature. None of these cases have documented the resolution of biliary stenosis induced by a stent graft. The only curative solutions reported are liver transplantation or bypassing the stenosis with an artificial biliary tract using advanced endoscopic techniques. CASE SUMMARY This is the first reported case of biliary obstruction secondary to TIPS placement in a transplanted liver. In our patient, a portosystemic shunt was created to treat severe veno-occlusive liver graft disease manifesting itself primarily by fluid retention. A cholestatic liver lesion and cholangitis with abscesses developed due to a stent graft-induced stricture in the dorsal segment of the right hepatic duct and the stricture diminished following percutaneous drainage. Endoscopic drainage was performed after unsuccessful removal of the percutaneous catheter resulting in a bilio-cutaneous fistula. Although the liver graft now functions well, the stricture remains refractory even after 44 mo of treatment. CONCLUSION Biliary strictures caused by TIPS in both transplanted and native livers seem refractory to endoscopic treatment.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30224 - Radiology, nuclear medicine and medical imaging
Result continuities
Project
<a href="/en/project/NV17-30281A" target="_blank" >NV17-30281A: Radiofrequency ablation in therapy of biliary and pancreatic disease</a><br>
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
World Journal of Hepatology
ISSN
1948-5182
e-ISSN
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Volume of the periodical
14
Issue of the periodical within the volume
5
Country of publishing house
CN - CHINA
Number of pages
9
Pages from-to
1038-1046
UT code for WoS article
000806594400014
EID of the result in the Scopus database
2-s2.0-85131059310