Transjugular intrahepatic portosystemic shunt: A promising therapy for recompensation in cirrhotic patients.

经颈静脉肝内门体分流术 ： 肝硬化患者的一种有希望的再补偿疗法。

• 影响指数: 5.374
• 发表时间: 2024 Apr 28
• 来源期刊: World J Gastroenterol
• DOI: 10.3748/wjg.v30.i16.2285
• PMID: 38690019
• 文章类型: Journal Article
• 中科院分区: Q2
• 方向: 医学
• 作者列表: Jin YN,Zhang W

关键词: Baveno VII; Cirrhosis recompensation; Portal pressure gradient; Predictor factor; Transjugular intrahepatic portosystemic shunt

Mesh: Portasystemic Shunt, Transjugular Intrahepatic / methods; Humans; Liver Cirrhosis / surgery complications; Retrospective Studies; Hypertension, Portal / surgery etiology diagnosis physiopathology; Treatment Outcome; Middle Aged; Female; Portal Pressure; Male; Aged; Age Factors; Hepatic Encephalopathy / etiology surgery

Abstract

This is a retrospective study focused on recompensation after transjugular intrahepatic portosystemic shunt (TIPS) procedure. The authors confirmed TIPS could be a treatment for recompensation of patients with cirrhosis according to Baveno VII. The paper identified age and post-TIPS portal pressure gradient as independent predictors of recompensation in patients with decompensated cirrhosis after TIPS. These results need to be validated in a larger prospective cohort.

摘要

这是一项回顾性研究，重点是经颈静脉肝内门体分流术（TIPS）手术后的再补偿。作者证实，根据BavenoVII，TIPS可以治疗肝硬化患者的再补偿。该论文确定年龄和TIPS后门静脉压力梯度是TIPS后失代偿性肝硬化患者再补偿的独立预测因子。这些结果需要在更大的前瞻性队列中进行验证。