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Hepatic Hydrothorax

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https://www.readbyqxmd.com/read/27784438/-research-advances-in-diagnosis-and-treatment-of-post-transjugular-intrahepatic-portosystemic-shunt-hepatic-encephalopathy
#1
J F Yang, B Q Zhang
Transjugular intrahepatic portosystemic shunt (TIPS) has become an important minimally invasive interventional technique for the treatment of complications of cirrhotic portal hypertension, and currently, it is often used in cirrhotic patients with esophagogastric variceal bleeding (EVB), intractable ascites, hepatic hydrothorax, and Budd-Chiari syndrome. On one hand, TIPS can effectively reduce portal vein pressure and the risk of EVB and intractable ascites; on the other hand, it may reduce the blood flow in liver perfusion, aggravate liver impairment, and cause porto-systemic encephalopathy...
July 20, 2016: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
https://www.readbyqxmd.com/read/27764014/spontaneous-pneumothorax-complicating-chronic-hepatic-hydrothorax-successful-treatment-by-small-bore-chest-tube
#2
Mark Hepokoski, Samir S Makani, Andrew D Lerner, Laura E Crotty Alexander
No abstract text is available yet for this article.
October 2016: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/27649661/study-on-correlation-between-liver-ultrasonic-appearance-of-patients-with-chronic-hepatitis-b-and-cirrhosis-and-hydrothorax
#3
L-L Sun, Y-H Li, F Chen, S Wang, H Shi
OBJECTIVE: The aim of this study is to analyze the correlation between liver ultrasonic quantitative detection indexes of patients with chronic hepatitis B and cirrhosis and hepatic hydrothorax. PATIENTS AND METHODS: We selected 56 cases of patients with chronic hepatitis B and cirrhosis combined with hepatic hydrothorax in our hospital from March 2013 to March 2015. Also, we selected 63 cases of patients with cirrhosis without hepatic hydrothorax at the same time...
September 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27580053/hepatic-hydrothorax-clinical-review-and-update-on-consensus-guidelines
#4
Rana Khazar Al-Zoubi, Mouhanna Abu Ghanimeh, Ashraf Gohar, Gary A Salzman, Osama Yousef
Hepatic Hydrothorax (HH) is defined as a pleural effusion greater than 500 ml in association with cirrhosis and portal hypertension. It is an uncommon complication of cirrhosis, most frequently seen in association with decompensated liver disease. The development of HH remains incompletely understood and involves a complex pathophysiological process with the most acceptable explanation being the passage of the ascetic fluid through small diaphragmatic defects. Given the limited capacity of the pleural space, even the modest pleural effusion can result in significant respiratory symptoms...
August 31, 2016: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/27509162/indwelling-tunneled-pleural-catheters-for-the-management-of-hepatic-hydrothorax-a-word-of-caution
#5
Aibek E Mirrakhimov, Taha Ayach, Adam Gray
No abstract text is available yet for this article.
August 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27509161/reply-indwelling-tunneled-pleural-catheters-for-the-management-of-hepatic-hydrothorax-a-word-of-caution
#6
Alexander C Chen, Jeffrey S Crippin
No abstract text is available yet for this article.
August 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27504545/frequency-of-hepatic-hydrothorax-and-its-association-with-child-pugh-class-in-liver-cirrhosis-patients
#7
Amanullah Abbasi, Abdul Rabb Bhutto, Mohammad Tanveer Alam, Muhammad Aurangzaib, Mohammad Masroor
OBJECTIVE: To determine the frequency of hepatic hydrothorax and its association with Child Pugh Class in patients with liver cirrhosis. STUDY DESIGN: Descriptive, analytical study. PLACE AND DURATION OF STUDY: Jinnah Postgraduate Medical Centre, Karachi, Medical Unit-III, (Ward- 7), from June 2012 to May 2013. METHODOLOGY: All patients with established diagnosis of decompensated chronic liver disease were included. Detailed history, thorough physical examination, routine laboratory investigations, chest X-ray and abdominal ultrasound were carried out in all patients to find out the presence of pleural effusion and ascites, respectively...
July 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27488430/pitfalls-in-the-performance-and-interpretation-of-scintigraphic-imaging-for-pleuroperitoneal-shunt
#8
Matthew F Covington, Gagandeep Choudhary, Ryan J Avery, Phillip H Kuo
Ascites can cause pleural effusions when the peritoneal fluid crosses the diaphragm through a pleuroperitoneal shunt in the setting of hepatic cirrhosis (hepatic hydrothorax) or malignant ascites. Scintigraphic imaging for pleuroperitoneal shunt requires intraperitoneal injection of Tc-SC or Tc-macroaggregated albumin followed by planar imaging of the chest and abdomen. Pleuroperitoneal shunt is confirmed by identifying radiotracer crossing the diaphragm from the peritoneal to pleural space. An atlas of pleuroperitoneal shunt imaging pitfalls is presented to facilitate optimal performance and interpretation of nuclear pleuroperitoneal shunt examinations...
November 2016: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/27468192/pulmonary-complications-of-hepatic-diseases
#9
REVIEW
Salim R Surani, Yamely Mendez, Humayun Anjum, Joseph Varon
Severe chronic liver disease (CLD) may result from portal hypertension, hepatocellular failure or the combination of both. Some of these patients may develop pulmonary complications independent from any pulmonary pathology that they may have. Among them the hepatopulmonary syndrome (HPS), portopulmonary hypertension (PPH) and hepatic hydrothorax (HH) are described in detail in this literature review. HPS is encountered in approximately 15% to 30% of the patients and its presence is associated with increase in mortality and also requires liver transplantation in many cases...
July 14, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27456504/effectiveness-and-safety-of-pleurodesis-for-hepatic-hydrothorax-a-systematic-review-and-meta-analysis
#10
Feifei Hou, Xingshun Qi, Xiaozhong Guo
BACKGROUND: Hepatic hydrothorax (HH) is a serious complication of end-stage liver diseases, which is associated with poor survival. There is no consensus regarding the treatment of HH. AIM: To evaluate the effectiveness and safety of pleurodesis for HH in a systematic review with meta-analysis. METHODS: All relevant papers were searched on the EMBASE and PubMed databases. As for the data from the eligible case reports, the continuous data were expressed as the median (range) and the categorical data were expressed as the frequency (percentage)...
November 2016: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/27340399/pigtail-catheter-a-less-invasive-option-for-pleural-drainage-in-egyptian-patients-with-recurrent-hepatic-hydrothorax
#11
Mohamed Sharaf-Eldin, Adel Salah Bediwy, Abdelrahman Kobtan, Sherief Abd-Elsalam, Ferial El-Kalla, Loai Mansour, Walaa Elkhalawany, Mohamed Elhendawy, Samah Soliman
Background and Aims. Treatment of hepatic hydrothorax is a clinical challenge. Chest tube insertion for hepatic hydrothorax is associated with high complication rates. We assessed the use of pigtail catheter as a safe and practical method for treatment of recurrent hepatic hydrothorax as it had not been assessed before in a large series of patients. Methods. This study was conducted on 60 patients admitted to Tanta University Hospital, Egypt, suffering from recurrent hepatic hydrothorax. The site of pigtail catheter insertion was determined by ultrasound guidance under complete aseptic measures and proper local anesthesia...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/27339676/respiratory-complication-in-liver-disease
#12
REVIEW
Vijaya S Ramalingam, Sikandar Ansari, Micah Fisher
Cirrhosis, the twelfth leading cause of death, accounts for 1.1% of all deaths in the United States. Although there are multiple pulmonary complications associated with liver disease, the most important complications that cause significant morbidity and mortality are hepatopulmonary syndrome, hepatic hydrothorax, and portopulmonary hypertension. Patients with cirrhosis who complain of dyspnea should be evaluated for these complications. This article reviews these complications.
July 2016: Critical Care Clinics
https://www.readbyqxmd.com/read/27295152/new-treatment-for-hepatic-hydrothorax
#13
Richard W Light
No abstract text is available yet for this article.
June 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27242207/-hepatic-hydrothorax
#14
Jean-François Cadranel, Armand Garioud, Hortensia Lison, Mourad Medmoun, Thierry Thevenot
Hydrothorax liver is defined by the presence of pleural effusion greater than 500mL secondary to portal hypertension in cirrhotic patients. Poor tolerance of hepatic hydrothorax makes the therapeutic management of these fragile patients and is associated with iatrogenic complications. The mechanism of hydrothorax formation cirrhosis is due to a unidirectional transfer of the abdominal ascites through the diaphragmatic gaps (that were identified macroscopically and microscopically) in the pleural cavity. The treatment of hepatic hydrothorax is determined by the possibility or not of liver transplantation...
May 27, 2016: La Presse Médicale
https://www.readbyqxmd.com/read/27178806/diagnosis-of-isolated-hepatic-hydrothorax-using-peritoneal-scintigraphy
#15
Lee J Hewett, Marques L Bradshaw, Leonie L Gordon, Don C Rockey
No abstract text is available yet for this article.
October 2016: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/27052948/intravascular-ultrasound-in-the-creation-of-transhepatic-portosystemic-shunts-reduces-needle-passes-radiation-dose-and-procedure-time-a-retrospective-study-of-a-single-institution-experience
#16
Steven D Kao, Maud M Morshedi, Kazim H Narsinh, Thomas B Kinney, Jeet Minocha, Andrew C Picel, Isabel Newton, Steven C Rose, Anne C Roberts, Alexander Kuo, Hamed Aryafar
PURPOSE: To assess whether intravascular ultrasound (US) guidance impacts number of needle passes, contrast usage, radiation dose, and procedure time during creation of transjugular intrahepatic portosystemic shunts (TIPS). MATERIALS AND METHODS: Intravascular US-guided creation of TIPS in 40 patients was retrospectively compared with conventional TIPS in 49 patients between February 2010 and November 2015 at a single tertiary care institution. Patient sex and age, etiology of liver disease (hepatitis C virus, alcohol abuse, nonalcoholic steatohepatitis), severity of liver disease (mean Model for End-Stage Liver Disease score), and indications for TIPS (variceal bleeding, refractory ascites, refractory hydrothorax) in conventional and intravascular US-guided cases were recorded...
August 2016: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/27015528/portopulmonary-hypertension-and-liver-transplant-recent-review-of-the-literature
#17
Caglar Cosarderelioglu, Arif M Cosar, Merve Gurakar, Aliaksei Pustavoitau, Stuart D Russell, Nabil N Dagher, Ahmet Gurakar
Portopulmonary hypertension is one of the main pulmonary conditions affecting patients with liver disease and/or portal hypertension. Other conditions include hepatopulmonary syndrome and hepatic hydrothorax. Portopulmonary hypertension is caused by pulmonary vasoconstriction and increased pulmonary vascular resistance. It develops as a result of portal hypertension with or without liver disease and is associated with a higher morbidity and mortality. However, portopulmonary hypertension is usually asymptomatic; the most common symptoms are dyspnea, fatigue, and peripheral edema...
April 2016: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/27015392/indwelling-tunneled-pleural-catheters-for-the-management-of-hepatic-hydrothorax-a-pilot-study
#18
Alexander Chen, Jennifer Massoni, Diana Jung, Jeffrey Crippin
RATIONALE: Hepatic hydrothorax is a complication of cirrhosis in which hydrostatic imbalances result in fluid accumulation within the pleural space. Although uncommon, this may cause significant morbidity, resulting in dyspnea requiring repeated pleural drainage procedures. Liver transplantation is curative, but it is rarely immediately available to qualified patients, presenting the clinical challenge of managing recurrent pleural effusions. Indwelling tunneled pleural catheters (ITPCs) have been used successfully to palliate dyspnea associated with recurrent malignant pleural effusions...
June 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27002676/transjugular-intrahepatic-portosystemic-shunt-in-refractory-hydrothorax-a-contribution-to-an-unexplored-indication
#19
Sara Campos, Dário Gomes, Carlos Sofia
BACKGROUND AND AIMS: Hepatic hydrothorax is a rare complication of portal hypertension, but may be potentially severe. Although conservative therapy may be effective, it is not without risk and refractory cases are not rare. The portal decompression achieved by transjugular intrahepatic portosystemic shunts (TIPS) has shown positive results in the treatment of refractory ascites, and in that sense, the analysis of their value in other complications of portal hypertension becomes relevant...
June 2016: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/26997087/evolving-indications-for-tips
#20
Mitchell Smith, Janette Durham
Transjugular intrahepatic portosystemic shunt creation is a well-established therapy for refractory variceal bleeding and refractory ascites in patients who do not tolerate repeated large volume paracentesis. Experience and technical improvements including covered stents have led to improved TIPS outcomes that have encouraged an expanded application. Evidence for other less frequent indications continues to accumulate, including the indications of primary prophylaxis in patients with high-risk acute variceal bleeding, gastric and ectopic variceal bleeding, primary treatment of medically refractory ascites, recurrent refractory ascites following liver transplantation, hepatic hydrothorax, hepatorenal syndrome, Budd-Chiari syndrome, and portal vein thrombosis...
March 2016: Techniques in Vascular and Interventional Radiology
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