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Shin-ei KUDO, Eishi HARA
2002 Volume 99 Issue 5 Pages
463-468
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Toshihiko FUKUSHIMA, Seiichi TAKENOSHITA
2002 Volume 99 Issue 5 Pages
469-473
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Yoshiyuki NARAHARA, Hidenori KANAZAWA, Yuji OSADA, Hitoshi YOSHIMOTO, ...
2002 Volume 99 Issue 5 Pages
474-482
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Eighteen patients with refractory ascites (Child-Pugh score 9.9) defined by our criteria were treated with transjugular intrahepatic portosystemic shunt (TIPS). The long-term efficacy of the treatment was studied in these patients. The complete and partial response rate of refractory ascites was 73% at 6 months, 90% at 1 year and 100% at 2 years. The cumulative survival rate was 89% at 6 months, 78% at 1 year and 48% at 2 years. A statistically significant (p<0.05) increase was observed in performance status score following TIPS:Mean performance status score prior to TIPS was 43%, as opposed to 62% at 3 months after TIPS and 85% at 2 years. Child-Pugh score and liver function tests showed no significant change. During follow-up, shunt stenosis was noted in 14 patients, requiring shunt revision. Ascites recurrence was observed in 70% of patients with shunt stenosis and shunt revision resulted in good control of ascites. Post-TIPS encephalopathy was seen in 15 patients during follow-up. In conclusion, TIPS is effective on the treatment of refractory ascites and results in an improvement in quality of life. TIPS also may improve survival of the patients with refractory ascites. However, shunt stenosis and encephalopathy are common and require careful follow-up and adequate treatment.
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Takashi OGATA, Akiko YOSHIMURA, Yoichi KURIHARA, Masamitsu UNAKAMI
2002 Volume 99 Issue 5 Pages
483-488
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Ai TSUMURA, Akihiro TAMORI, Shirou NAKAMURA, Tadashi TAKEDA, Syuuhei N ...
2002 Volume 99 Issue 5 Pages
489-492
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Yasushi UMEHARA, Yukio OSAKI, Hiroyuki KOKURYU, Seigo TAKAMATSU, Toru ...
2002 Volume 99 Issue 5 Pages
493-499
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Hideaki KATO, Katsuo HAYASHI, Kanji SUGIHARA, Akira NEMOTO, Kei FUJIWA ...
2002 Volume 99 Issue 5 Pages
500-504
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Shusuke MORIZONO, Marie FUKUTOMI, Masaki YOKOTA, Haruo IGUCHI, Akihiro ...
2002 Volume 99 Issue 5 Pages
505-510
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Susumu HIJIOKA, Michio HIFUMI, Takaaki YAMANE, Hiroyuki OGATA, Tetsu K ...
2002 Volume 99 Issue 5 Pages
511-517
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Shuji SAITO, Itaru ENDO, Shigeru YAMAGISHI, Kuniya TANAKA, Yasushi ICH ...
2002 Volume 99 Issue 5 Pages
518-522
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Shigeo HASEGAWA, Akira SUZUKI, Yousuke SAKAI, Satoshi OHTSUKA, Masahik ...
2002 Volume 99 Issue 5 Pages
523-526
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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Haruo IMAMURA, Shuji TADA, Kazuhiko HIROTA, Hironobu SUKO, Takihiro KA ...
2002 Volume 99 Issue 5 Pages
527-532
Published: May 05, 2002
Released on J-STAGE: February 26, 2008
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2002 Volume 99 Issue 5 Pages
535
Published: 2002
Released on J-STAGE: April 21, 2008
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