Early TIPS : une revue pratique après 15 ans d’évidence scientifique [Early TIPS: a practical review after 15 years of scientific evidence]

Details

Serval ID
serval:BIB_76573276AD15
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Early TIPS : une revue pratique après 15 ans d’évidence scientifique [Early TIPS: a practical review after 15 years of scientific evidence]
Journal
Revue medicale suisse
Author(s)
Shams T., Moschouri E., Denys A., Moradpour D., Fraga M., Artru F.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
02/09/2020
Peer-reviewed
Oui
Volume
16
Number
704
Pages
1548-1553
Language
french
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Gastrointestinal bleeding related to portal hypertension of cirrhosis is associated with a significant mortality risk (10-20 %). The transjugular intrahepatic portosystemic shunt (TIPS) reduces the hepatic venous pressure gradient. Several studies have evaluated early TIPS insertion (within 72h from diagnostic endoscopy) with the aim of improving outcomes in selected patients at high risk of failure to control bleeding and/or rebleeding. The majority reported an improvement of 6-week and 1-year survival rates and a decrease in failure to control bleeding and rebleeding. Here, we review the available data and discuss the limits of early TIPS in terms of patient identification and access to the procedure.
Keywords
Gastrointestinal Hemorrhage/complications, Humans, Hypertension, Portal/complications, Liver Cirrhosis/complications, Portasystemic Shunt, Transjugular Intrahepatic, Survival Rate, Treatment Outcome
Pubmed
Create date
14/09/2020 13:54
Last modification date
14/10/2020 6:26
Usage data