To investigate the effectiveness of ethiodized oil lymphangiography and TIPS creation in cirrhosis-related chylous ascites, ten patients were included between January 2019 and December 2023. After the failure of conservative treatment, patients received ethiodized oil lymphangiography to identify and embolize the chylous leakage first, and then the TIPS procedure was conducted. Symptoms of chylous leakage were not controlled after ethiodized oil lymphangiography, including patients' weight increase, abdominal circumference increase, and serum albumin level decrease. After undergoing TIPS procedure one week later, chylous ascites gradually alleviated, including patients' weight decrease, abdominal circumference decrease, and serum albumin level maintenance. In the follow-up of 15.6 ± 11.6 months, all chylous ascites were relieved without recurrence. In summary, ethiodized oil inguinal node lymphangiography was not capable of identifying and controlling lymphatic leakage, but TIPS creation is an effective method to control chylous ascites in patients with cirrhosis.
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| http://dx.doi.org/10.1016/j.jvir.2025.02.034 | DOI Listing |
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