Petr Hůlek

TIPS creation in patients with persistent left superior vena cava.

Transjugular intrahepatic portosystemic shunt is a minimally invasive endovascular procedure that has played an important role in the treatment of acute or repeated variceal bleeding or refractory ascites. The standard venous access route for this procedure is the right jugular vein. Sometimes it is better to use the left jugular vein because of lower probability of life threatening complication or technical failure. In this case reports the authors have described their experience with TIPS creation in two patients with persistent left and absent right superior vena cava and recommend using the left jugular vein as an access route in this rare anatomical variant.

Guidelines of the Czech Society of Hepatology for diagnosis and treatment of primary biliary cholangitis

T. Fejfar1, T. Vaňásek1, P. Hůlek1,2, L. Vítek3,4, S. Fraňková5, R. Brůha4 1 II. interní gastroenterologická klinika LF UK a FN Hradec Králové 2 Katedra interních oborů, LF OU a FNsP Ostrava 3 Ústav lékařské bio chemie a laboratorní dia gnostiky, 1. LF UK a VFN v Praze 4 IV. interní klinika – klinika gastroenterologie a hepatologie 1. LF UK a VFN v Praze 5 Klinika hepatogastroenterologie, Transplantcentrum, IKEM, Praha