Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/196397 |
Resumo: | This study aimed to report the first case of a patient with hepatosplenic schistosomiasis mansoni, refractory ascites and portal vein thrombosis treated with a transjugular intrahepatic portosystemic shunt (TIPS), at the Instituto de Radiologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil. After the procedure, the patient recovered favorably and progressed with portal pressure reduction and no deterioration of the liver function. Endovascular shunt modification is a conservative medical approach that often helps in reducing symptoms significantly, making it a less invasive and a safer alternative to liver transplantation for the treatment of schistosomiasis with portal hypertension. |
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Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shuntSchistosoma mansoni Refractory ascitesTransjugular intrahepatic portosystemic shuntThis study aimed to report the first case of a patient with hepatosplenic schistosomiasis mansoni, refractory ascites and portal vein thrombosis treated with a transjugular intrahepatic portosystemic shunt (TIPS), at the Instituto de Radiologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil. After the procedure, the patient recovered favorably and progressed with portal pressure reduction and no deterioration of the liver function. Endovascular shunt modification is a conservative medical approach that often helps in reducing symptoms significantly, making it a less invasive and a safer alternative to liver transplantation for the treatment of schistosomiasis with portal hypertension.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2022-05-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/19639710.1590/S1678-9946202264026Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e26Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e26Revista do Instituto de Medicina Tropical de São Paulo; v. 64 (2022); e261678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/196397/181000Copyright (c) 2022 Maria Cristina Carvalho do Espírito Santo, Ronaldo Cesar Borges Gryschek, Alberto Queiroz Farias, Wellington Andraus, Noêmia Barbosa Carvalho, Olavo Henrique Munhoz Leite, Felipe Corrêa Castro, Giovanni Guido Cerri, Gustavo Henrique Hypólitti, Francisco César Carnevale, André Moreira de Assishttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessSanto, Maria Cristina Carvalho do Espírito Gryschek, Ronaldo Cesar Borges Farias, Alberto Queiroz Andraus, Wellington Carvalho, Noêmia Barbosa Leite, Olavo Henrique Munhoz Castro, Felipe Corrêa Cerri, Giovanni Guido Hypólitti, Gustavo Henrique Carnevale, Francisco César Assis, André Moreira de 2022-10-10T13:01:46Zoai:revistas.usp.br:article/196397Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:53:03.851372Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt |
title |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt |
spellingShingle |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt Santo, Maria Cristina Carvalho do Espírito Schistosoma mansoni Refractory ascites Transjugular intrahepatic portosystemic shunt |
title_short |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt |
title_full |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt |
title_fullStr |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt |
title_full_unstemmed |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt |
title_sort |
Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt |
author |
Santo, Maria Cristina Carvalho do Espírito |
author_facet |
Santo, Maria Cristina Carvalho do Espírito Gryschek, Ronaldo Cesar Borges Farias, Alberto Queiroz Andraus, Wellington Carvalho, Noêmia Barbosa Leite, Olavo Henrique Munhoz Castro, Felipe Corrêa Cerri, Giovanni Guido Hypólitti, Gustavo Henrique Carnevale, Francisco César Assis, André Moreira de |
author_role |
author |
author2 |
Gryschek, Ronaldo Cesar Borges Farias, Alberto Queiroz Andraus, Wellington Carvalho, Noêmia Barbosa Leite, Olavo Henrique Munhoz Castro, Felipe Corrêa Cerri, Giovanni Guido Hypólitti, Gustavo Henrique Carnevale, Francisco César Assis, André Moreira de |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Santo, Maria Cristina Carvalho do Espírito Gryschek, Ronaldo Cesar Borges Farias, Alberto Queiroz Andraus, Wellington Carvalho, Noêmia Barbosa Leite, Olavo Henrique Munhoz Castro, Felipe Corrêa Cerri, Giovanni Guido Hypólitti, Gustavo Henrique Carnevale, Francisco César Assis, André Moreira de |
dc.subject.por.fl_str_mv |
Schistosoma mansoni Refractory ascites Transjugular intrahepatic portosystemic shunt |
topic |
Schistosoma mansoni Refractory ascites Transjugular intrahepatic portosystemic shunt |
description |
This study aimed to report the first case of a patient with hepatosplenic schistosomiasis mansoni, refractory ascites and portal vein thrombosis treated with a transjugular intrahepatic portosystemic shunt (TIPS), at the Instituto de Radiologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil. After the procedure, the patient recovered favorably and progressed with portal pressure reduction and no deterioration of the liver function. Endovascular shunt modification is a conservative medical approach that often helps in reducing symptoms significantly, making it a less invasive and a safer alternative to liver transplantation for the treatment of schistosomiasis with portal hypertension. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/196397 10.1590/S1678-9946202264026 |
url |
https://www.revistas.usp.br/rimtsp/article/view/196397 |
identifier_str_mv |
10.1590/S1678-9946202264026 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/196397/181000 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e26 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 64 (2022); e26 Revista do Instituto de Medicina Tropical de São Paulo; v. 64 (2022); e26 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
_version_ |
1798951653804605440 |