Lhasa, September 9 (Zhongxin Net) -- On the 6th, the reporter learned from the Lhasa Municipal People's Hospital that recently, medical experts who aided Tibet successfully treated patient Dorjee (pseudonym) by using TIPS technology (minimally invasive transjugular venous puncture, and finally placing a stent in the vein, reducing portal vein pressure, controlling and preventing gastrointestinal bleeding, and promoting chest and ascites absorption) and made him recover.
It is understood that Dorjee, 47 years old this year, has been suffering from recurrent upper gastrointestinal bleeding combined with refractory chest ascites, and has sought medical treatment many times. Seven months ago, the patient presented to the hospital with abdominal pain and was diagnosed with "severe esophageal varices, portal hypertension gastropathy".
The picture shows Tibet-aided doctor Li Jianjun applying TIPS technology to perform surgery on patients. Photo by Tashi Tsering
Four months ago, the patient suffered gastrointestinal bleeding after eating hard food, and was admitted to the Department of Gastroenterology of Lhasa People's Hospital and was diagnosed with "hepatitis B cirrhosis with esophageal and gastric variceal bleeding, portal hypertension, abdominal effusion, pleural effusion", and was discharged after corresponding treatment.
After this admission, Ibiran, director of the Department of Gastroenterology of Lhasa People's Hospital, and Liu Jingliang, an expert in Tibet aid from Beijing Friendship Hospital, organized an in-hospital multidisciplinary joint diagnosis (MDT), together with Li Jianjun, a Tibet aid expert and director of the Department of Vascular Intervention at Beijing You'an Hospital, combined with the patient's past medical history, clinical manifestations and imaging results, and confirmed the patient as "decompensated hepatitis B cirrhosis, portal hypertension, esophageal and gastric variceal bleeding and refractory chest ascites".
It is reported that according to the "2022 Portal Hypertension Baveno VII. Guidelines", TIPS can be used as a second-line treatment plan to prevent the failure of endoscopic treatment of esophageal and gastric variceal bleeding, and the patient meets the indications for transjugular intrahepatic portal shunting, and Li Jianjun et al. decided to use TIPS for the patient.
The TIPS surgery was led and implemented by Li Jianjun, and the operation went smoothly and the patient recovered well after the operation. Li Jianjun said that compared with surgical treatment of portal hypertension shunt or flow cut-off, TIPS technology has less trauma, fewer complications, low mortality and a wider range of indications. TIPS is a four-stage surgery, which is one of the most technical and difficult procedures in interventional therapy at present, and is known as the "crown" of interventional radiology. This time, the medical staff involved in the operation also experienced this training of new technology, and they said that they benefited a lot. (End)