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Correspondence
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Volume 333:878-879 September 28, 1995 Number 13
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Transjugular Intrahepatic Portosystemic Stent Shunt for Ascites

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 by Ochs, A.
To the Editor: Ochs et al. (May 4 issue)1 reported their experience using transjugular intrahepatic portosystemic stent shunts to control refractory ascites. The shunts were successfully placed in all 50 study patients, and 74 percent had total remission of ascites within three months. However, 9 of 18 patients in Child–Pugh class B and 20 of 32 in class C died within the follow-up period of 426±333 days (mean ±SD). Many shunts became occluded or stenosed, and many patients had hepatic encephalopathy after the procedure. On the basis of their uncontrolled prospective study, the authors suggest that the procedure is effective . . . [Full Text of this Article]

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