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Single-center study reports outcomes of ultrasound-guided transjugular mesocaval shunt creation in refractory variceal hemorrhage, highlighting a novel endovascular salvage option.
Purpose: Extrahepatic portal vein obstruction is a leading cause of upper gastrointestinal bleeding in India, with limited options once first- and second-line treatments fail. We describe a novel, fully endovascular technique for transjugular mesocaval shunt creation using transabdominal ultrasound guidance and report our single-center outcomes in patients with refractory variceal hemorrhage secondary to extrahepatic portal vein obstruction.
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Singhal et al. (2026) studied this question.
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