Transjugular portosystemic shunts in pediatric patients awaiting liver transplantation

Stephen P. Johnson, John R. Leyendecker, Frederic B. Joseph, Allen E. Joseph, Daniel C. Diffin, David Devoid, James Eason

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Three pediatric patients from 6 to 11 years of age awaiting liver transplantation for end stage liver disease underwent transjugular intrahepatic portosystemic shunt (TIPS) placement for control of variceal bleeding. Two of the three procedures were performed emergently after endoscopic sclerotherapy failed to stop active bleeding. One procedure was performed electively after multiple prior bleeding episodes. The shunts were created from the middle or left hepatic vein to the left portal vein, and none of the subsequent transplant surgeries was complicated by the presence of the stents. No major or minor complications were related to TIPS placement. Two patients underwent concomitant variceal embolization. Bleeding was successfully controlled in each patient. We conclude that TIPS placement in children is technically feasible, does not complicate subsequent surgery, and is useful treating acute variceal hemorrhage in pediatric patients awaiting liver transplantation.

Original languageEnglish (US)
Pages (from-to)1178-1181
Number of pages4
JournalTransplantation
Volume62
Issue number8
DOIs
StatePublished - Oct 27 1996

ASJC Scopus subject areas

  • Transplantation

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