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Dong In Kim, Byeong Mahn Lee, Jin Woo Lee, Kun Hyung Cho, Young Chol Jo, Jung Woo Shin, Mi Suk Lee |
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서울의대 내과 |
| 증례 : 경경정맥 간내문맥정맥 단락술 후 발생한 스텐트 추정감염 1예 (Case Reports : A case of probable endotipsitis after transjugular intrahepatic portasystemic shunt) |
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김동인, 이병만, 이진우, 조근형, 조영철, 신정우, 이미숙 |
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| Abstract |
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Transjugular intrahepatic portasystemic shunt (TIPS) is a procedure that inserts an expandable
metallic stent into the liver parenchyme by transjugular catheterization. During the past decade, TIPS
has been accepted as an alternative to the surgical shunt procedure for controlling the complications
of portal hypertension and has become more widely performed. Complications of TIPS include
encephalopathy, bleeding, deterioration of liver function and infection. Although periprocedual sepsis
has been known since the early days of TIPS stenting, infection by the TIPS device itself has only
recently been recognized because of its rare occurrence. The definition of endotipsitis makes it
possible to classify it into two groups: definite and probable infection. We report a case of probable
endotipsitis with relapsing bacteremia after TIPS for uncontrolled varix bleeding. If relapsing
bacteremia without any other clearly attributable source occurs in a patient with TIPS, the possibility
of endotipsitis is considered.(Korean J Med 70:232-236, 2006)
Key Words : Portasystemic Shunt, Transjugular intrahepatic, Infection |
| Key Words:
Portasystemic Shunt, Transjugular intrahepatic, Infection |
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