OBJECTIVE Esophageal variceal bleeding is the most dangerous complication in patients with liver cirrhosis, and it is accompanied by high mortality. Their treatment can be complex, and requires a multidisciplinary approach. This review examines current approaches to the management of patients with liver cirrhosis who have acute esophageal variceal bleeding. METHODS PubMed, Google Scholar, and...

RECENTLY IFPUG RELEASED THE NEW SNAP (SOFTWARE NON-FUNCTIONAL ASSESSMENT PROCESS) METHOD, AIMED TO SIZE THE NON-FUNCTIONAL SIDE OF A SOFTWARE APPLICATION. FROM FPA CREATION ON, NFRS (NONFUNCTIONAL REQUIREMENTS) WERE TYPICALLY DEALT AS “REQUIREMENTS OF A LESSER GOD”, WHILE THEY REPRESENT SIMPLY A DIFFERENT AND COMPLEMENTAR CONTRIBUTION TO A PROJECT THAN FURS (FUNCTIONAL USER REQUIREMENTS). THIS ...

BACKGROUND Between 1988 and 2002, eight patients were referred to our unit from other institutions, for management of fulminant hepatic failure (FHF) complicating severe veno-occlusive disease (VOD). AIM To review our experience with these patients. METHODS Retrospective analysis of medical case notes. RESULTS In 7/8 cases, a histological diagnosis of VOD was confirmed by transjugular liv...

Portal vein thrombosis is common in cirrhotic patients and results in increased morbidity and mortality. Transjugular intrahepatic portosystemic shunt (TIPS) creation is a well-established therapy for refractory variceal bleeding and refractory ascites in patients who do not tolerate repeated large volume paracentesis. Experience and technical improvements have led to improved TIPS outcomes tha...

Key Points: • Percutaneous transjugular coil embolization (PTCE) is a minimally invasive imageguided technique used for the attenuation of intrahepatic portosystemic shunts. • Cross sectional imaging is important for gaining a detailed anatomic understanding of the vascular anomaly. • Fluoroscopic guidance is utilized during the coil embolization procedure which creates a favorable pressure gra...