Transjugular intrahepatic portosystemic shunt in five @entity1 with cystic XXXX : long-term results.

@entity1 @entity82 @entity101 @entity548 @entity5273 @entity1576 @entity1575
BACKGROUND/AIMS: The aim of this study was to report results of @entity5273 ( @entity5273 ) in 5 consecutive @entity1 with cystic @entity82 and monitor long-term follow-up results. METHODOLOGY: Five cystic @entity82 @entity1 with multinodular @entity1575 and complications of portal @entity101 (repeated variceal @entity548 refractory to endoscopic treatment) underwent @entity5273 creation. There were 3 males and 2 females aged 8 to 18 years (median 14 yrs), their weight range was 27-51 (median 40) kg. A routine @entity5273 technique was used. The @entity1 were followed by ultrasonography. RESULTS: The @entity5273 was successfully performed in all five @entity1 . The mean portosystemic pressure gradient was reduced from 17 to 10 mmHg. There were no deaths related to the procedure. No clinical or laboratory signs of @entity548 into the gastrointestinal tract were observed in any @entity1 within the first 30 days following @entity5273 . There was recurrent @entity548 6 times and asymptomatic stenoses were revealed by ultrasonography 15 times during a follow-up period of 15-81 (median 70) months. All stenoses were successfully dilated. One @entity1 had liver transplantation 15 months after @entity5273 . Two @entity1 died 6.7 years and 4.5 years following the placement of @entity5273 due to @entity1576 . CONCLUSIONS: Symptomatic portal @entity101 was successfully managed with @entity5273 in long-term follow-up; multiple reinterventions were required for shunt stenoses. @entity5273 served as a bridge to liver transplantation in one case.
