Transjugular intrahepatic portosystemic shunt for gastrointestinal bleeding due to hepatocellular carcinoma complicated by portal vein embolus (report of 4 cases)
ZHANG Jun-hua
LI Yü
HAN Ping
ZHANG Jin-long
ZHANG Tao
Abstract：Objective To investigate the effect of transjugular intrahepatic portosystemic shunt (TIPS) on gastrointestinal bleed-ing due to advanced-stage hepatocellular carcinoma complicated by portal vein embolus. Methods Four patients with acute upper gastrointestinal bleeding were diagnosed with portal vein cancer embolus by contrast-enhanced CT and MRI scanning of the abdomen, of whom 3 patients were complicated by wide embolus formation in superior mesenteric vein (including 1 patient with spleen vein embolus formation). Hemostatic treatment by TIPS was undertaken and the stents were placed where distal embolus could be observed by angiogra-phy. Results After undergoing TIPS, no re-bleeding was found in 3 patients followed up for 4-6 weeks and 1 patient followed up for 8 weeks, and abdominal symptoms were obviously relieved or disappeared. Conclusions TIPS is a safe and effective way to treat gas-trointestinal bleeding due to hepatocellular carcinoma complicated by portal vein embolus, and is worthy of promotion.
Keywords：portosystemic shunttransjugular intrahepatichemorrhagecarcinomahepatocellular
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 364-367 )