Lagos hospital performs liver bypass surgery without open surgery

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Twenty-year-old Tosin Ojelabi became ill in 2015, she was diagnosed of Budd–Chiari which she had been suffering from for three years. In the past, the only way to treat Budd-Chiari syndrome was a large operation with surgery creating “a mesocaval shunt”, a shunt from the big veins in the belly to the inferior vena cava.

Tosin suffered a significant amount of fluid build-up in the abdomen with up to 33 litres drained from the belly monthly and had significant muscle wasting. She simply lived a life none of us want to live. It was then the test revealed that not only did Tosin have the rare disease, but that she badly needed a surgery.

Budd–Chiari syndrome is a disease where there is obstruction of the venous outflow from the liver either at the level of the hepatic veins (blood vessels that carry blood black to the heart). When this obstruction occurs, all the blood coming from the abdominal organs and bowels into the liver have nowhere to go. This results in congestion of the liver and backflow of blood into the abdomen. This pressure results in massive fluid build-up in the abdomen called Ascites.

“We successfully performed the TIPS shunt. The procedure was technically challenging and required modified techniques with thinking outside the box, but the expertise was available to tackle all of this which ensured success,” said the team of surgeons, led by Hammed Ninalowo, Vascular and Interventional Radiologist, at Euracare Multi-Specialist Hospital, in Lagos.

According to the team of surgeons, Budd–Chiari syndrome cause is largely unknown, but is usually attributed to a hyper thrombotic state or a web. “Our patient did well and was discharged home the next morning. This procedure was only previously done with a major operation, which would have required … Read More...