Article
Gastroenterology & Hepatology
Marc-Antoine Allard, Nobuhisa Akamatsu, Takashi Kokudo, Kosuke Kobayashi, Junichi Kaneko, Takeaki Ishizawa, Junichi Arita, Kiyoshi Hasegawa
Summary: Spontaneous portosystemic shunts are common in living donor liver transplantation (LDLT), and while large splenorenal shunts are associated with increased risk of portal complications, conservative management of spontaneous shunts during LDLT appears reasonable to prevent adverse outcomes.
LIVER TRANSPLANTATION
(2021)
Article
Surgery
Masato Fujiki, Koji Hashimoto, Cristiano Quintini, Federico Aucejo, Choon H. D. Kwon, Hajime Matsushima, Kazunari Sasaki, Luis Campos, Bijan Eghtesad, Teresa Diago, Giuseppe Iuppa, Giuseppe D'amico, Shiva Kumar, Peter Liu, Charles Miller, Antonio Pinna
Summary: This study demonstrates that with surgical modifications, outcomes of living donor liver transplantation using small grafts can be improved. Venous outflow augmentation and splenectomy help reduce the risk of using small-for-size grafts without compromising graft survival.
Article
Surgery
Hye-Sung Jo, Young-Dong Yu, Yoo Jin Choi, Dong-Sik Kim
Summary: The outcomes of LDLT using LLGs and RLGs were compared, showing comparable results between the LLG and RLG groups, with a higher risk of SFSS in the LLG group. The study highlights the importance of experience in avoiding severe complications and graft loss in LLG LDLT.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Review
Gastroenterology & Hepatology
Yong Lv, Daiming Fan, Guohong Han
Summary: Liver diseases, especially viral hepatitis, have a major impact in China and globally. Portal hypertension is the most severe complication of chronic liver diseases, and TIPS is an effective treatment for these complications. This review focuses on the history, current application, and management of TIPS complications in China.
LIVER INTERNATIONAL
(2023)
Article
Medicine, General & Internal
Hong-Liang Wang, Wei-Jie Lu, Yue-Lin Zhang, Chun-Hui Nie, Tan-Yang Zhou, Guan-Hui Zhou, Tong-Yin Zhu, Bao-Quan Wang, Sheng-Qun Chen, Zi-Niu Yu, Li Jing, Jun-Hui Sun
Summary: This study found that the presence or absence of portal vein thrombosis did not affect the survival rate or incidence of shunt dysfunction in cirrhosis patients undergoing TIPS treatment. Risk factors for mortality included age, MELD score, and refractory ascites.
FRONTIERS IN MEDICINE
(2021)
Article
Surgery
Ahmed Abdallah, Ahmed Abdallah Salman, Amany Abdelmaqsod Sholkamy, Mohamed Abdalla Salman, Mahmoud Gouda Omar, Ahmed Youssef, Mahmoud A. Ameen, Ahmad Yahia Abdel Dayem, Hossam El-Din Shaaban, Ossama Ramzy Youssef, Nesrin Abd Allah, Walid Rafat Abdelaty
Summary: This study found that the occurrence of SFSS is correlated with the graft recipient weight ratio, MELD score, and intraoperative portal hemodynamics. Preclamping and post-reperfusion portal pressures exhibited high sensitivity and specificity in predicting SFSS.
ASIAN JOURNAL OF SURGERY
(2021)
Review
Transplantation
Hillary J. Braun, John P. Roberts
Summary: This review discusses the history and current state of left lobe living donor liver transplantation (LDLT), highlighting the importance of donor safety and the expansion of LDLT to address the organ shortage. Recent findings in left lobe LDLT emphasize the need for inflow modification to reduce portal hyperperfusion and early graft dysfunction, with evidence suggesting that early graft dysfunction does not predict patient survival.
CURRENT OPINION IN ORGAN TRANSPLANTATION
(2021)
Review
Radiology, Nuclear Medicine & Medical Imaging
Kai Zuo, Cong Wang, Jun Wang, Feng-Fei Xia, Tao Song
Summary: TIPS conducted via the left portal vein was associated with lower rates of postoperative hepatic encephalopathy and TIPS dysfunction compared to TIPS via the right portal vein. However, there were no significant differences in rates of re-bleeding or mortality between these two groups.
ABDOMINAL RADIOLOGY
(2021)
Article
Gastroenterology & Hepatology
Li Ma, Jingqin Ma, Wen Zhang, Qingxin Liu, Zihan Zhang, Minjie Yang, Jiaze Yu, Xin Zhou, Shiyao Chen, Jian Wang, Jianjun Luo, Zhiping Yan
Summary: In cirrhotic patients with variceal bleeding, delayed PPG has a higher predictive power for variceal rebleeding than immediate PPG.
HEPATOLOGY INTERNATIONAL
(2023)
Article
Urology & Nephrology
Ayah Megahed, Todd Schlachter, Joshua Cornman-Homonoff
Summary: This article discusses a rare case of varicocele related to portal hypertension, emphasizing the complexity of imaging workup and intervention in such cases.
Review
Medicine, General & Internal
Sasidharan Rajesh, Shobhit Singh, Cyriac Abby Philips
Summary: This article provides a concise yet comprehensive overview of the role and placement scenarios of TIPS in patients with chronic non-malignant PVT, with or without underlying liver disease, supported by exemplary instances from the authors' experience.
Review
Gastroenterology & Hepatology
Hae Lim Lee, Sung Won Lee
Summary: Transjugular intrahepatic portosystemic shunt (TIPS) is an effective intervention to relieve portal hypertension and its complications. Careful patient selection and assessment can lead to excellent outcomes despite potential adverse events after TIPS implementation.
CLINICAL AND MOLECULAR HEPATOLOGY
(2022)
Article
Gastroenterology & Hepatology
Silvia Aspite, Filippo Schepis, Davide Roccarina, Stefano Gitto, Michele Citone, Chiara Di Bonaventura, Marcello Bianchini, Umberto Arena, Alessandro M. Vannucchi, Paola Guglielmelli, Francesca Campani, Fabrizio Fanelli, Fabio Marra, Francesco Vizzutti
Summary: This study analyzed the efficacy and safety of TIPS in the treatment of portal hypertension-related complications in patients with myelofibrosis with hepatic myeloid metaplasia (HMM), and found that it improves nutritional status.
LIVER INTERNATIONAL
(2022)
Review
Gastroenterology & Hepatology
Sern Wei Yeoh, Hong Kuan Kok
Summary: The use of TIPSS in patients with PVT is becoming more common and has shown positive outcomes. While technically challenging, TIPSS can effectively reduce portal hypertensive complications in PVT patients and should no longer be considered a contraindication. High-volume specialist centers are recommended for performing TIPSS in PVT patients to minimize procedural risks.
JOURNAL OF DIGESTIVE DISEASES
(2021)
Article
Medicine, General & Internal
Xin Liu, Bingmu Liu, Liqun Guo
Summary: This article reports a rare case of portal vein aneurysm combined with intrahepatic portosystemic venous shunt, emphasizing the use of multiple imaging techniques for accurate diagnosis.