The Wiki
The Wiki contains all the articles on the web site. The articles are put into categories and 'tagged' for easier searching.
Hepatitis C and Liver Transplants Most people know him as the bad guy JR Ewing on the TV show “Dallas.” But lately the actor who played the part, Larry Hagman, has adopted a different role: champion for the cause of organ transplants. In 1995, Hagman, who had advanced cirrhosis, received a life-saving liver transplant. Since…
Adult-to-Adult Living Donor Liver Transplantation Emmet B. Keeffe, M.D. Stanford University Medical Center Stanford, California Liver transplantation is the accepted treatment for most acute and chronic liver diseases resulting in liver failure; however, the scarcity of cadaveric donors has become an insurmountable problem limiting the application of liver transplantation (1). To increase the donor supply,…
TIPS in the Management of Refractory Ascites Kevin B. Mercure, M.D. Wake Forest University Baptist Medical Center Department of Internal Medicine Resident Grand Rounds April 6, 2004 PATHOPHYSIOLOGY OF ASCITES Ascites is a collection of excess fluid in the peritoneal cavity. The pathogenesis of ascites in patients with cirrhosis involves several mechanisms. Portal hypertension results…
TIPS in the management of portal hypertension Transjugular intrahepatic portosystemic shunt (TIPS) is an interventional radiology technique that has shown a 90% success rate to decompress the portal circulation. As a non-surgical intervention, without requirement for anesthesia and very low procedure-related mortality, TIPS is applicable to severe cirrhotic patients, who are otherwise untreatable, for example,…
Study on TIPS for variceal hemorrhage Outcome of 100 patients after transjugular intrahepatic portosystemic shunt for variceal hemorrhage. OBJECTIVES: One hundred consecutive patients with recurrent or refractory acute variceal hemorrhage treated with a transjugular intrahepatic portosystemic shunt (TIPS) from June 1990 to June 1993 at Oregon Health Sciences University or the Portland Veterans Affairs Medical…
TIPS with Portal Vein Thrombosis (PVT) Background and aims To study whether TIPS used on patients with Portal vein thrombosis (PVT) negatively impacts the prognosis in those with cirrhosis. The aim of our study was to evaluate the effects of transjugular intrahepatic portosystemic shunt (TIPS) placement in patients with cirrhosis complicated by PVT. Methods Seventy…
MELD and the Waiting List for Liver Transplant Livers are donated in the spirit of altruism and are a limited national resource; thus, it is only right that donor livers be allocated in a fair manner. California Pacific Medical Center’s Liver Transplant Program adheres to national policies developed by the United Network for Organ Sharing…
Prognosis in Patients With Cirrhosis using MELD Clinical Biochemical Parameters and MELD Score The MELD score was calculated according to the original formula. The MELD scores of all the patients were over 20. The patients were divided into three groups according to the MELD scores: 20-29, 30-39, and ≥40. The clinical and biochemical characteristics and…
MELD Calculator (Updated to include Serum Sodium) MELD score (Model for End stage Liver Disease) is a score used to calculate the 90 day survival chances for people suffering with ESLD.The MELD score is used as part of the criteria for a Liver Transplant. You will find the calculator here: Meld Calculator The score…
What is PBC? Primary biliary cirrhosis (PBC) is a chronic (long duration) disease characterized by progressive inflammation and destruction of the small bile ducts within the liver. What are the bile ducts and what do they do? Lined with cells named biliary epithelial cells, the bile ducts are tubules that make up a plumbing system…