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Transjugular Intrahepatic Portosystemic Stenting in Portal Hypertensive Gastropathy
Author(s):
1. Pervez Ashraf: Department of Gastroenterology, Liaquat National Hospital,Karachi,Liaquat National ospital,Karachi, Pakistan
2. Ghulam Mujtaba Shah: Department of Gastroenterology, Liaquat National Hospital,Karachi,Liaquat National ospital,Karachi, Pakistan
3. Hafeezullah Shaikh: Department of Gastroenterology, Liaquat National Hospital,Karachi,Liaquat National ospital,Karachi, Pakistan
4. Nabiha Faisal: Department of Gastroenterology, Liaquat National Hospital,Karachi,Liaquat National ospital,Karachi, Pakistan
5. Abdul Manan: Department of Gastroenterology, Liaquat National Hospital,Karachi,Liaquat National ospital,Karachi, Pakistan
6. Mukesh Kumar: Department of Gastroenterology, Liaquat National Hospital,Karachi,Liaquat National ospital,Karachi, Pakistan
Abstract:
Portal Hypertensive Gastropathy (PHG) is a rare cause of upper gastrointestinal bleeding in patients with Chronic Liver Disease (CLD). This is the case report of a 46-year-old female known case of Hepatitis C Virus (HCV) CLD, who presented with melena and coffee ground vomitings for 6 months. Esophagogastroduodenoscopy (EGD) showed PHG while an ultrasound revealed chronic liver disease. The patient had a history of repeated blood transfusions over the last 6 months. She was given propanolol but no benefit occurred. She was referred for transjugular intrahepatic portosystemic stenting (TIPSS) to an interventional radiologist, which was followed by a reduction in PHG and the need for transfusion.
Page(s): 584-585
DOI: DOI not available
Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 19, Issue: 9, Year: 2009
Keywords:
Oesophagogastroduodenoscopy Portal hypertensive gastropathy Transjugular intrahepatic Portosystemic stenting Chronic liver disease Hepatitis C
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