Year 2025 / Volume 117 / Number 6
Letter
Pancreaticoduodenectomy in a patient with severe portal hypertension: the role of preoperative TIPS

353-355

DOI: 10.17235/reed.2024.10431/2024

Carolina González Abós, Emmanuel Martínez Escalante, Francisco Salgado Muñoz, Homero Charles Cantú, Deisy Navarrete Espinosa, Filippo Landi, Belén Martínez-Mifsud, Anna Baiges, Fabio Ausania,

Abstract
The complication rate for Pancreaticoduodenectomy (PD) is 40-50% in most published series and mortality can raise up to 4-5% even in high-volume centers. Severe portal hypertension secondary to liver disease is associated to high perioperative mortality and therefore is considered a contraindication for PD. No standardized management exists for surgically resectable patients with periampullary cancer and severe portal hypertension. The aim of this case study is to analyse the treatment alternatives in patients with periampullary cancer and severe portal hypertension and focus into the surgical treatment of these patients. We present the case of a 67 year-old patient case with a resectable ampullary cancer and portal hypertension managed with Preoperative Transjugular Intrahepatic Portosystemic Shunt (TIPS) to allow a PD. We present a literature review on the use of preoperative TIPS in patients who are candidates to PD. Neoadjuvant TIPS can be safely used in selected patients with severe portal hypertension who need a PD.
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Citation tools
González Abós C, Martínez Escalante E, Salgado Muñoz F, Charles Cantú H, Navarrete Espinosa D, Landi F, et all. Pancreaticoduodenectomy in a patient with severe portal hypertension: the role of preoperative TIPS. 10431/2024


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Publication history

Received: 25/03/2024

Accepted: 05/04/2024

Online First: 30/04/2024

Published: 10/06/2025

Article Online First time: 36 days

Article editing time: 442 days


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