Small diameter shunts should lead to safe expansion of the use of TIPS.

Bosch, Jaime (2021). Small diameter shunts should lead to safe expansion of the use of TIPS. Journal of hepatology, 74(1), pp. 230-234. Elsevier 10.1016/j.jhep.2020.09.018

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TIPS is increasingly used worldwide in the treatment of complications from of portal hypertension in advanced cirrhosis. However, its use is hampered by the risk of causing hepatic encephalopathy and of worsening liver function. Reported hemodynamic targets for guiding TIPS are too narrow for being achieved in most cases, and perhaps not entirely adequate nowadays since obtained in the pre-covered stent era. We propose that small diameter TIPS - alone or combined to pharmacological therapy or ancillary interventional radiology procedures- may overcome these limitations while maintaining its beneficial effects by itself or by associating simple additional treatments or procedures.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Hepatology
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Hepatologie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Hepatologie

UniBE Contributor:

Bosch, Jaime

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1600-0641

Publisher:

Elsevier

Language:

English

Submitter:

Rahel Fuhrer

Date Deposited:

11 Dec 2020 17:20

Last Modified:

11 Mar 2021 19:45

Publisher DOI:

10.1016/j.jhep.2020.09.018

PubMed ID:

32987029

Uncontrolled Keywords:

Cirrhosis Variceal bleeding ascites embolisation of portalsystemic collaterals hepatic encephalopathy portal hypertension propranolol rifaximin splenic artery embolisation

BORIS DOI:

10.7892/boris.148187

URI:

https://boris.unibe.ch/id/eprint/148187

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