To treat the patients suffering from portal hypertension and other liver disease, interventional radiology procedures TIPS (Transjugular intrahepatic portosystemic shunt) and DIPS (Direct intrahepatic portocaval shunt) have been started at BMHRC.
These are the non surgical procedures and the patient may discharge in one or two days after the procedure. “Portal and Hepatic veins are the most important blood vessels in the liver. Portal veins transport blood from our gastrointestinal system, gallbladder, pancreas, and spleen on the way to the liver, while Hepatic veins return blood from liver back to your heart. Disease like liver cirrhosis slows the blood flow from portal vein to hepatic vein.
This causes high blood pressure known as portal hypertension. Due to increased blood pressure, the veins can then break open (rupture) and serious bleeding may start. This Fluid starts building up inside the abdomen, resulting in swelling in the abdomen and increased size of liver and spleen. Patient may suffer from severe pain and blood vomiting.
To address this problem, a procedure called TIPS is performed, in which a direct channel is created between portal vein and the hepatic vein, so that blood can reach the hepatic vein through another route to takes away blood from the liver to heart. In this procedure, a wire is inserted in the right side of the neck through the Internal Jugular vein, the largest vein in the neck and a stent is placed from the hepatic vein to the portal vein. This allows the blood flow to return to the heart, ” said Dr. Radheshyam Meena, HOD, Department of Radiology.
BMHRC Director Dr Manisha Shrivastava said that TIPS and DIPS procedures are complex procedures in intervention radiology. Very few hospitals performed this procedure in Bhopal. In private hospitals, it costs around Rs 3-4.5 lakh, whereas in BMHRC, it is free for gas victims, their dependent children and Ayushman Yojana beneficiaries.
Treatment of Budd-Chiari-Syndrome disease successfully done through DIPSRecently a 35-year-old woman from Sagar district was treated through DIPS procedure. The patient was diagnosed with the disease called Budd-Chiari Syndrome. Budd-Chiari syndrome is a condition in which the outflow of blood from liver is obstructed. The obstruction can be due to clotting in hepatic veins. Due to this fluid starts accumulated in the abdomen and patient and the size of the liver and spleen also increases. The patient complained of abdomen pain, swelling and blood vomiting.
In this case, the patient was treated with DIPS procedure using interventional radiology technique. The woman's condition is now improving and she has been discharged from the hospital. A team of doctors led by Dr Radheshyam Meena, and Dr Gaurav Acharya, Asistant Professor, Department of Anesthesiology performed this complex procedure.