Unsolved Questions in Salvage TIPSS: Practical Modalities for Placement, Alternative Therapeutics, and Long-Term Outcomes
Joint Authors
Bouzbib, Charlotte
Sultanik, Philippe
Thabut, Dominique
Rudler, Marika
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Salvage transjugular intrahepatic portosystemic shunt (TIPSS) has proven its efficacy to treat refractory variceal bleeding for patients with cirrhosis.
However, this procedure is associated with very poor outcomes.
As it is used as a last resort to treat a severe complication of cirrhosis, it seems essential to improve our practice, with the aim of optimizing management of those patients.
Somehow, many questions are still unsolved: which stents should be used? Should a concomitant embolization be systematically considered? Is there any alternative therapeutic in case of recurrent bleeding despite TIPSS? What are the long-term outcomes on survival, liver transplantation, and hepatic encephalopathy after salvage TIPSS? Is this procedure futile in some patients? Is prognosis with salvage TIPSS nowadays as bad as earlier, despite the improvement of prophylaxis for variceal bleeding? The aim of this review is to summarize those data and to identify the lacking ones to guide further research on salvage TIPSS.
American Psychological Association (APA)
Bouzbib, Charlotte& Sultanik, Philippe& Thabut, Dominique& Rudler, Marika. 2019. Unsolved Questions in Salvage TIPSS: Practical Modalities for Placement, Alternative Therapeutics, and Long-Term Outcomes. Canadian Journal of Gastroenterology and Hepatology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1129906
Modern Language Association (MLA)
Bouzbib, Charlotte…[et al.]. Unsolved Questions in Salvage TIPSS: Practical Modalities for Placement, Alternative Therapeutics, and Long-Term Outcomes. Canadian Journal of Gastroenterology and Hepatology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1129906
American Medical Association (AMA)
Bouzbib, Charlotte& Sultanik, Philippe& Thabut, Dominique& Rudler, Marika. Unsolved Questions in Salvage TIPSS: Practical Modalities for Placement, Alternative Therapeutics, and Long-Term Outcomes. Canadian Journal of Gastroenterology and Hepatology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1129906
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129906