Introduction Transjugular intrahepatic portosystemic shunt (TIPS) is a non selective portosystemic derivation created by endovascular techniques. A transhepatic comunication between one of the hepatic veins and a branch of portal vein is created using a needle system. Intrahepatic trajectory remains open by placing a metallic stent. TIPS is an effective method to relieve the portal system press...

Surgery for portal hypertension began in 1877, with Nicolai Vladirmirovich who performed the fi rst portacaval anastomosis. There was little clinical success until Blakemore and Whipple between the 1920’s and 1940’s: the mortality rate ranged from 25-40%. Hepatic encephalopathy was a clinical problem. In 1960, Warren and collegues performed a distal splenorenal shunt, which reduced the incidenc...

The term minimal hepatic encephalopathy (MHE) refers to the subtle changes in cognitive function, electrophysiological parameters, cerebral neurochemical/neurotransmitter homeostasis, cerebral blood flow, metabolism, and fluid homeostasis that can be observed in patients with cirrhosis who have no clinical evidence of hepatic encephalopathy; the prevalence is as high as 84% in patients with hep...

Metabolic, opportunistic, and other infectious complications of HIV infection and antiretroviral therapy continue to be major areas of active investigation. This year's Conference on Retroviruses and Opportunistic Infections included many important presentations on the clinical aspects of HIV complications. In each successive year, the studies reported in the area of complications have matured ...

Context It has been reported that some locally advanced pancreatic body and tail cancers can be radically resected by distal pancreatectomy with celiac axis resection. However, the removal of the celiac axis can result in fatal complications due to hepatic ischemia. Case report A Seventy-two-year-old man with pancreatic body cancer was selected to undergo distal pancreatectomy with celiac axis ...

During the past 5 years, 104 angiographic studies were performed in 87 patients (45 children and 42 adults) with 92 transplanted livers for evaluation of possible vascular complications. Seventy percent of the studies were abnormal. Hepatic artery thrombosis was the most common complication (seen in 42% of children studied, compared with only 12% of adults) and was a major complication that fre...

Five cases of hepatic haemangioma are described, and a sixth (previously reported) is reviewed. Clinical features, investigation, and management are described to show the great variability of the complications and prognosis. Five children presented in the first 10 weeks of life with hepatomegaly; 4 developed congestive cardiac failure; 3 had cutaneous haemangiomata. One child presented at age 4...

Objective The purpose of this study was to investigate the clinical value of hepatic segmental staining under intra-operative ultrasonography guidance in anatomic segment 8 (S8) segmentectomy. Method This was a retrospective study of 31 patients with hepatocellular carcinoma (HCC) whose lesions were located in S8. Under intra-operative ultrasonography guidance, the hepatic portal vein branch of...

BACKGROUND The deceased donor organ shortage has forced surgeons to implement innovations, including living-related liver transplantation (LRLT). OBJECTIVE To present the first 20 cases of adult LRLT in a single center in Saudi Arabia. METHODS From November 2000 to May 2004, we performed 20 cases of LRLT. Eighteen donors were men and 2 were women. Their median age was 27 years. Seventeen of...

Analysis of 185 consecutive patients admitted to a trauma center (1983-1986) with blunt traumatic injury to the liver classified by severity of hepatic injury (I-V) has demonstrated that the pattern of associated organ injuries is a major determinant of the immediate resuscitation requirements, complications, and the ultimate outcome of patients with hepatic injury. When the significance of all...