SEQUENTIAL TREATMENT OF HEPATORENAL-SYNDROME AND POSTHEPATIC CIRRHOSIS BY INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPSS) AND LIVER-TRANSPLANTATION

The results of liver transplantation are compromised in cirrhotic pati ents presenting with renal insufficiency from hepatorenal syndrome. A case of cirrhosis and hepatorenal syndrome, treated sequentially with transjugular intrahepatic porto-systemic stent shunting (TIPSS) and Li ver transplantation, is discussed. TIPSS may be useful for correcting renal dysfunction and/or hepatorenal syndrome in. end-stage cirrhotics , thus permitting subsequent elective Liver transplantation under good conditions.