Transjugular Intrahepatic Portosystemic Stenting in Portal Hypertensive Gastropathy | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2009]

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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