Transjugular Intrahepatic Portosystemic Shunt for the Treatment of Chylothorax and Chylous Ascites in Cirrhosis: A Case Report and Systematic Review of the Literature

被引：25
作者：
Tsauo, Jiaywei
Shin, Ji Hoon [1 ]
Han, Kichang
Yoon, Hyun-Ki
Ko, Gi-Young
Ko, Heung-Kyu
Gwon, Dong-Il
机构：
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Radiol, Seoul 138736, South Korea
来源：
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2016年 / 27卷 / 01期
关键词：
THORACIC-DUCT; PORTAL-HYPERTENSION; HEPATIC CIRRHOSIS; LIVER; LYMPH; MANAGEMENT; EMBOLIZATION; OCTREOTIDE; DIAGNOSIS; PATIENT;
D O I：
10.1016/j.jvir.2015.09.022
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Cirrhosis-related chylothorax and chylous ascites are rare conditions. The pathophysiologic mechanism of cirrhosis-related, chylous fluid collections is believed to be excessive lymph flow resulting from portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) creation is a well-established method for reducing portal hypertension. The cake of a 61-year-old; man with cirrhosis-related chylothorax treated successfully with a TIPS is described. A systematic review of the literature revealed nine additional cases of chylothorax or chylous ascites treated successfully with a TIPS. These cases showed that TIPS creation may be effective and safe for the treatment of chylous fluid collections in patients with cirrhosis.
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收藏
页码：112 / 116
页数：5
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