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Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt in Patients with Recurrent Variceal Hemorrhage
Joint Authors
Katarina, Šurlan Popovič
Peter, Popovič
Manca, Garbajs
Andrej, Zore
Pavel, Skok
Source
Gastroenterology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-03-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
The purpose of this study was to determine the incidence and predictors of hepatic encephalopathy (HE) after transjugular intrahepatic portosystemic shunt (TIPS) and endoscopic therapy (ET) in the elective treatment of recurrent variceal hemorrhage.
Methods.
Seventy patients were treated with elective TIPS and fifty-six patients with ET.
Median observation time was 46.28 months in the TIPS group and 42.31 months in the ET group.
Results.
30 patients (42.8%) developed clinically evident portosystemic encephalopathy in TIPS group and 20 patients (35.6%) in ET group.
The difference between the groups was not statistically significant (P=0.542; χ2 test).
The incidence of new or worsening portosystemic encephalopathy was 24.3% in TIPS group and 10.7% in ET group.
Multivariate analysis showed that ET treatment (P=0.031), age of >65 years (P=0.022), pre-existing HE (P=0.045), and Child's class C (P=0.051) values were independent predictors for the occurrence of HE.
Conclusions.
Procedure-related HE is a complication in a minority of patients treated with TIPS or ET.
Patients with increased age, preexisting HE, and higher Child-Pugh score should be carefully observed after TIPS procedure because the risk of post-TIPS HE in these patients is higher.
American Psychological Association (APA)
Peter, Popovič& Andrej, Zore& Katarina, Šurlan Popovič& Manca, Garbajs& Pavel, Skok. 2013. Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt in Patients with Recurrent Variceal Hemorrhage. Gastroenterology Research and Practice،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-468991
Modern Language Association (MLA)
Peter, Popovič…[et al.]. Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt in Patients with Recurrent Variceal Hemorrhage. Gastroenterology Research and Practice No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-468991
American Medical Association (AMA)
Peter, Popovič& Andrej, Zore& Katarina, Šurlan Popovič& Manca, Garbajs& Pavel, Skok. Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt in Patients with Recurrent Variceal Hemorrhage. Gastroenterology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-468991
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-468991