Uso de la octreótida en ascitis refractaria después de un trasplante hepático
- Oana Anisa Nutu 1
- Alejandro Manrique Municio 1
- Alberto A. Marcacuzco Quinto 1
- Jorge Calvo Pulido 1
- Luis Carlos Jiménez Romero 1
- 1 Hospital Universitario 12 de Octubre. Madrid
ISSN: 2340-416, 1130-0108
Argitalpen urtea: 2019
Alea: 111
Zenbakia: 11
Orrialdeak: 882-884
Mota: Artikulua
Beste argitalpen batzuk: Revista Española de Enfermedades Digestivas
Laburpena
Refractory ascites is a condition associated with a reduced survival and a poorer quality of life. Portal hyperflow after liver transplantation is one of the main causes. We report the case of a female patient with refractory ascites after liver transplantation who was treated with splenic embolization. Ascites persisted despite embolization due to splenic revascularization by short gastric vessels and repeat embolization was technically unfeasible. Based on pathophysiology data, she was treated with octreotide, a somatostatin octapeptide analog, which resulted in splanchnic vasoconstriction and a reduction of the portal flow and venous pressure. After four months of treatment with octreotide, the patient had a good clinical status without ascites.