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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 187 - 192 (6page)
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Refractory ascites is a rare complication after liver transplantation, and its incidence ranges from 5% to 7%. A 56-yearold man diagnosed with HBV-LC with massive ascites underwent living donor liver transplantation. After transplantation, more than 1000 ml/day of ascites was steadily drained until two weeks after LT. CT showed intrahepatic Rt. portal vein thrombosis and many remnant collaterals with splenomegaly. We decided to embolize the proximal splenic artery and use apixaban to reduce portal flow and resolve the intrahepatic portal thrombosis. One day after splenic artery embolization, the patient's ascites dramatically decreased. Three days later, he was discharged from the hospital. Three months later, a follow-up liver CT showed resolution of thrombosis and no ascites. Splenic artery embolization was an effective and safe procedure for portal flow modulation in portal hyertension. Apixaban was effective for partial portal vein thrombosis in a liver transplant recipient.
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참고문헌 (16)
참고문헌 신청
Meighani A / 2016 / Splenic Artery Embolization for Treatment of RefractoryAscitesAfter Liver Transplantation / ACG Case Reports J 3:136~138
Unger LW / 2019 / Portal Hypertension after Liver Transplantation —Causes and Management / Curr Hepatology Rep 18:59~66
Quintini C / 2011 / Splenic Artery Embolization for the Treatment of Refractory Ascites After Liver Transplantation / Liver Transplant 17:668~673
Lee TY / 2019 / Somatostatin Therapy in Patients with Massive Ascites After Liver Transplantation / Ann Transplant 24:1~8
Luca A / 2006 / Effects of splenic artery occlusion on portal pressure in patients with cirrhosis and portal hypertension / Liver Transplant 12:1237~1243
Unger LW / 2019 / Portal Hypertension after Liver Transplantation —Causes and Management / Curr Hepatology Rep 18:59~66
Quintini C / 2011 / Splenic Artery Embolization for the Treatment of Refractory Ascites After Liver Transplantation / Liver Transplant 17:668~673
Lee TY / 2019 / Somatostatin Therapy in Patients with Massive Ascites After Liver Transplantation / Ann Transplant 24:1~8
Luca A / 2006 / Effects of splenic artery occlusion on portal pressure in patients with cirrhosis and portal hypertension / Liver Transplant 12:1237~1243
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