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Gastroenterologie
a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2014; 68(2): 124-131.

Transjugular intrahepatic porto systemic shunt in the therapy of refractory ascites: single center point of view

Tomáš Fejfar Orcid.org  1, Václav Šafka Orcid.org  , Václav Jirkovský Orcid.org  1, Tomáš Vaňásek Orcid.org  2, Štěpán Šembera Orcid.org  1, Vendelín Chovanec Orcid.org  3, Ondřej Renc Orcid.org  3, Antonín Michl Orcid.org  , Jan Žižka Orcid.org  , Antonín Krajina Orcid.org  3, Petr Hůlek1,4, Miroslav Lojík3, Jan Raupach3

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Summary

Ascites and refractory ascites is one of the most severe complications of portal hypertension and is associated with high mortality. When ascites becomes refractory, liver transplantation, large volume paracentesis with albumin substitution or nonsurgical portocaval shunt creation - transjugular intrahepatic postosystemic shunt (TIPS), are the treatment options. The role of TIPS is still discussed. Temporary view on TIPS role in the therapy of refractory ascites and own experience with the treatment of 361 patients by TIPS in the last 22 years are referred to.

Keywords

portal hypertension

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