The transjugular intrahepatic portosystemic shunt for the management of cirrhotic refractory ascites

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Guadalupe Garcia-Tsao
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[1] Internal Medicine at Yale University School of Medicine,
[2] Chief of the Digestive Diseases Section and Program Director of the Hepatitis C Resource Center at the Connecticut-Veterans Administration Healthcare System,undefined
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This Review considers the pathophysiologic basis for transjugular intrahepatic portosystemic shunt (TIPS) placement in cirrhotic patients with refractory ascites. The effect of TIPS placement on hemodynamics and sodium retention is discussed, along with how TIPS placement compares with large-volume paracentesis–the standard therapy for refractory ascites. Disadvantages of the procedure, predicting mortality after TIPS placement, candidate selection and monitoring after TIPS placement are also covered.
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页码:380 / 389
页数:9
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