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dc.contributor.authorMeum, Kine
dc.date.accessioned2015-03-23T23:00:28Z
dc.date.available2015-03-23T23:00:28Z
dc.date.issued2014
dc.identifier.citationMeum, Kine. Transjugulær intrahepatisk portosystemisk shunt som behandling ved varicer, refraktær ascites og hepatorenalt syndrom.. Master thesis, University of Oslo, 2014
dc.identifier.urihttp://hdl.handle.net/10852/43355
dc.description.abstractBackground and aims: Cirrhosis is the end-stage of all chronic liver diseases, and is associated with a range of serious complications causing high morbidity and mortality. A consequence of cirrhosis is portal hypertension and changes in systemic hemodynamics, which is the main pathological mechanism causing several of the complications associated with cirrhosis, i.e. oesophageal varices, ascites, hepatic encephalopathy and hepatorenal syndrome. Transjugular intrahepatic portosystemic shunt (TIPS) is effective in reducing the portal pressure, and the aim of this review is to look at the complications of cirrhosis, in which TIPS is a good alternative to standard medical treatment. Methods: This review is based on a literature search in PubMed in September 2014, using the words transjugular intrahepatic portosystemic shunt , liver cirrhosis complications , portal hypertension , ascites treatment , gastroesophagal varices management , hepatorenal syndrome treatment and hepatic encephalopathy . Results and conclusions: TIPS is a good treatment in secondary prophylaxis of variceal bleeding, and early-TIPS can be an alternative in patients with acute variceal bleeding and high risk of treatment failure. TIPS is better than large volume parascentesis in controlling refractory ascites and hepatic hydrothorax, and has shown improvement in renal function and improved survival in the latter patients. The major drawback in the use of TIPS is the high incidence of hepatic encephalopathy and stent dysfunction associated with the procedure.nor
dc.description.abstractBackground and aims: Cirrhosis is the end-stage of all chronic liver diseases, and is associated with a range of serious complications causing high morbidity and mortality. A consequence of cirrhosis is portal hypertension and changes in systemic hemodynamics, which is the main pathological mechanism causing several of the complications associated with cirrhosis, i.e. oesophageal varices, ascites, hepatic encephalopathy and hepatorenal syndrome. Transjugular intrahepatic portosystemic shunt (TIPS) is effective in reducing the portal pressure, and the aim of this review is to look at the complications of cirrhosis, in which TIPS is a good alternative to standard medical treatment. Methods: This review is based on a literature search in PubMed in September 2014, using the words transjugular intrahepatic portosystemic shunt , liver cirrhosis complications , portal hypertension , ascites treatment , gastroesophagal varices management , hepatorenal syndrome treatment and hepatic encephalopathy . Results and conclusions: TIPS is a good treatment in secondary prophylaxis of variceal bleeding, and early-TIPS can be an alternative in patients with acute variceal bleeding and high risk of treatment failure. TIPS is better than large volume parascentesis in controlling refractory ascites and hepatic hydrothorax, and has shown improvement in renal function and improved survival in the latter patients. The major drawback in the use of TIPS is the high incidence of hepatic encephalopathy and stent dysfunction associated with the procedure.eng
dc.language.isonor
dc.subjectTIPS
dc.subjecttransjugulær
dc.subjectintrahepatisk
dc.subjectportosystemisk
dc.subjectshunt
dc.titleTransjugulær intrahepatisk portosystemisk shunt som behandling ved varicer, refraktær ascites og hepatorenalt syndrom.nor
dc.titleTransjugular intrahepatic portosystemic shunt as a treatment for varices, refractory ascites and hepatorenal syndrome.eng
dc.typeMaster thesis
dc.date.updated2015-03-23T23:00:28Z
dc.creator.authorMeum, Kine
dc.date.embargoenddate10000-01-01
dc.rights.termsforever
dc.rights.termsDette dokumentet er ikke elektronisk tilgjengelig etter ønske fra forfatter. Tilgangskode/Access code A
dc.identifier.urnURN:NBN:no-47787
dc.type.documentProsjektoppgave
dc.rights.accessrightsclosedaccess
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/43355/1/ProsjektoppgaveKineMeum.pdf


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