Authors:

Shruthi V Annaldasula

IBMC, University of Porto Rua do Campo Alegre, Portugal

Abstract:

Despite enhancements within the surgical techniques, physiological condition and medical aid, abdominal surgery in patients with cirrhosis of the liver remains a challenge. Transjugular intrahepatic portosystemic shunt (TIPS) has been wont to manage complications of malignant hypertension. surgical TIPS (prophylactic) will on paper improve outcomes during this population. No perioperative mortality or major abdominal injury due to malignant hypertension was reportable for this cohort. One patient had poor wound healing post surgery (4.2%), one had right coronary failure (4.2%), and 5 developed viscus nervous disorder (20.8%) post surgery. a lot of proof is required to optimize the temporal order of surgery post TIPS and therefore the choice of associate acceptable tube size to additional decrease the associated morbidity. Overall, the choice for prophylactic TIPS placement for cirrhotic patients undergoing abdominal surgery wants secernment to permit its safe use with concomitant improvement in perioperative morbidity.

Keywords:
Prophylactic transjugular intrahepatic portosystemic shunt, cirrhosis, portal hypertension, abdominal surgery.

Citation:

Shruthi V Annaldasula. Cirrhotic individuals undergoing abdominal surgery may benefit from a preoperative transjugular intrahepatic portosystemic shunt. Japanese Journal of Gastroenterology 2021.