TIPS en pacientes cirróticos con trombosis venosa portal: una revisión de la literatura

Autores/as

DOI:

https://doi.org/10.59093/27112330.94

Palabras clave:

derivación portosistémica intrahepática transyugular, hipertensión portal, trombosis, vena porta, cirrosis hepática.

Resumen

En los últimos años, la trombosis de la vena porta entre los pacientes cirróticos se ha comportado como una entidad reconocida y cada vez más estudiada, no solo por su creciente incidencia, sino por la asociación con gravedad y mal pronóstico en cirrosis. Asimismo, se hacen objeto de estudio las terapias disponibles para el manejo tanto médico como quirúrgico de estos pacientes, lo que ha dado un papel importante a la derivación portosistémica transyugular intrahepática (TIPS). El uso de TIPS en esta población se posiciona como una alternativa de manejo aceptable, no solo por brindar mejoría en las complicaciones derivadas de la hipertensión portal, sino también por sus resultados prometedores en diferentes estudios sobre el flujo y la recanalización portal, y por su perfil de seguridad. Sin embargo, la eficacia, los efectos adversos a largo plazo y el pronóstico de dicha intervención en la compleja fisiopatología de la cirrosis deben continuar en estudio. El objetivo de este artículo es revisar los avances del uso de TIPS en el manejo de pacientes con cirrosis hepática y trombosis portal.

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Biografía del autor/a

Mateo Valencia-Carrasquilla, Universidad de Antioquia

Estudiante de Medicina. Grupo de Gastrohepatología, Universidad de Antioquia. Medellín, Colombia.

Valentina Aristizábal-Montoya, Universidad de Antioquia

Estudiante de Medicina, Universidad de Antioquia. Medellín, Colombia.

Felipe Guerrero-Pérez, Universidad de Antioquia

Estudiante de Medicina. Grupo de Gastrohepatología, Universidad de Antioquia. Medellín, Colombia.

Eliana Palacio-Sánchez, Universidad de Antioquia

Médica General. Gestión Académica, Grupo de Investigación Gastrohepatología, Sección Clínica. Miembro Grupo Gastrohepatología, Universidad de Antioquia. Medellín, Colombia.

Octavio Germán Muñoz-Maya, Universidad de Antioquia, Hospital Pablo Tobón Uribe

Médico, Especialista en Medicina Interna, Especialista en Hepatología Clínica y Trasplante Hepático. Profesor, Facultad de Medicina, Universidad de Antioquia. Unidad de Hepatología y Programa de Trasplante de Hígado, Hospital Pablo Tobón Uribe. Medellín, Colombia.

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Publicado

2024-01-02

Cómo citar

Valencia-Carrasquilla, M., Aristizábal-Montoya, V., Guerrero-Pérez, F., Palacio-Sánchez, E., & Muñoz-Maya, O. G. (2024). TIPS en pacientes cirróticos con trombosis venosa portal: una revisión de la literatura. Hepatología, 5(1), 34–47. https://doi.org/10.59093/27112330.94

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