A patient with end-stage liver disease secondary to haemochromatosis was transferred to our hospital for variceal bleeding. During the previous 5 months, she underwent 10 oesophagogastroduodenoscopies (EGD) with repeated endoscopic band ligations (EBL). Following the most recent EBL, she was transferred to our hospital for emergent transjugular intrahepatic portosystemic shunt (TIPS) procedure. The patient arrived on mechanical ventilator support with continuous infusion of intravenous inotropes. After multiple blood transfusions and supportive measures, she had a successful TIPS procedure (mean portal-systemic gradient decreased from 11 mm Hg to 4 mm Hg). She recovered and was transferred to the general medical ward. Six days after the TIPS, she had another episode of hematochezia, …

中文翻译：

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经颈静脉肝内门体分流术（TIPS）后的大规模胃肠道出血

一名因血色素沉着病继发的终末期肝病患者被转移到我院进行静脉曲张破裂出血。在过去的5个月中，她接受了10次食管胃十二指肠镜检查（EGD），并多次进行了内镜下结扎术（EBL）。最近一次EBL手术后，她被转移到我们医院接受急诊经颈静脉肝内门体分流术（TIPS）。患者通过持续输注静脉内正性肌力药物到达机械呼吸机支持。经过多次输血和支持性措施后，她成功进行了TIPS手术（平均门静脉系统梯度从11毫米汞柱降至4毫米汞柱）。她康复后被转移到普通病房。TIPS六天后，她又发生了一次便血发作……