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Archivos de Medicina Interna

Print version ISSN 0250-3816On-line version ISSN 1688-423X


VALVERDE, Marcelo; MENENDEZ, Josemaría; SCALONE, Paola  and  GERONA, Solange. Role of the intrahepatic porto-systemic shunts with the transjugular approach for the treatment of the refractory variceal bleeding in the cyrrhotic patient. Arch. Med Int [online]. 2011, vol.33, n.1, pp.12-15. ISSN 0250-3816.

In this paper we present a case of a patient with Primary Biliary Cirrhosis on the waiting list for liver transplantation with portal hypertension that’s develops an acute variceal bleeding, as well as the diagnostic and therapeutic measures taken, stressing the role of the derivation transjugular intrahepatic portosystemic approach (TIPS). Is also carried out an update on the clinical course of cirrhosis and the new staging of it.

Keywords : Portal hypertension; Esophageal varices; Variceal bleeding; portosystemic shunt.

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