Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices

Patients with Barrett's esophagus (BE) and cirrhosis who develop high-grade dysplasia (HGD) or adenocarcinoma in the setting of esophageal varices present a unique therapeutic dilemma. There is limited literature regarding the optimal management of varices prior to invasive procedures or surger...

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Autores principales: NeSmith, Meghan, Jou, Janice, Fennerty, M. Brian, Kolbeck, Kenneth J., Lee, Brent, Ahn, Joseph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435331/
https://www.ncbi.nlm.nih.gov/pubmed/26157872
http://dx.doi.org/10.14309/crj.2014.48
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author NeSmith, Meghan
Jou, Janice
Fennerty, M. Brian
Kolbeck, Kenneth J.
Lee, Brent
Ahn, Joseph
author_facet NeSmith, Meghan
Jou, Janice
Fennerty, M. Brian
Kolbeck, Kenneth J.
Lee, Brent
Ahn, Joseph
author_sort NeSmith, Meghan
collection PubMed
description Patients with Barrett's esophagus (BE) and cirrhosis who develop high-grade dysplasia (HGD) or adenocarcinoma in the setting of esophageal varices present a unique therapeutic dilemma. There is limited literature regarding the optimal management of varices prior to invasive procedures or surgery involving the distal esophagus. We present a case of variceal decompression with a transjugular intrahepatic portosystemic shunt (TIPS) allowing for successful endoscopic mucosal resection (EMR) of BE with HGD overlying esophageal varices.
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spelling pubmed-44353312015-07-08 Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices NeSmith, Meghan Jou, Janice Fennerty, M. Brian Kolbeck, Kenneth J. Lee, Brent Ahn, Joseph ACG Case Rep J Case Report Patients with Barrett's esophagus (BE) and cirrhosis who develop high-grade dysplasia (HGD) or adenocarcinoma in the setting of esophageal varices present a unique therapeutic dilemma. There is limited literature regarding the optimal management of varices prior to invasive procedures or surgery involving the distal esophagus. We present a case of variceal decompression with a transjugular intrahepatic portosystemic shunt (TIPS) allowing for successful endoscopic mucosal resection (EMR) of BE with HGD overlying esophageal varices. American College of Gastroenterology 2014-07-08 /pmc/articles/PMC4435331/ /pubmed/26157872 http://dx.doi.org/10.14309/crj.2014.48 Text en Copyright © NeSmith et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
NeSmith, Meghan
Jou, Janice
Fennerty, M. Brian
Kolbeck, Kenneth J.
Lee, Brent
Ahn, Joseph
Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices
title Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices
title_full Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices
title_fullStr Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices
title_full_unstemmed Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices
title_short Transjugular Intrahepatic Portosystemic Shunt Prior to Endoscopic Mucosal Resection for Barrett's Esophagus in the Setting of Varices
title_sort transjugular intrahepatic portosystemic shunt prior to endoscopic mucosal resection for barrett's esophagus in the setting of varices
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435331/
https://www.ncbi.nlm.nih.gov/pubmed/26157872
http://dx.doi.org/10.14309/crj.2014.48
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