Rebleeding rates following TIPS for variceal hemorrhage in the Viatorr era: TIPS alone versus TIPS with variceal embolization
نویسندگان
چکیده
منابع مشابه
Transjugular intrahepatic portosystemic shunt (TIPS) versus endoscopic variceal ligation in the prevention of variceal rebleeding in patients with cirrhosis: a randomised trial.
BACKGROUND AND AIMS The transjugular intrahepatic portosystemic shunt (TIPS) is a new therapeutic modality for variceal bleeding. In this study we compared the two year survival and rebleeding rates in cirrhotic patients treated by either variceal band ligation or TIPS for variceal bleeding. METHODS Eighty cirrhotic patients (Pugh score 7-12) with variceal bleeding were randomly allocated to ...
متن کاملEarly TIPS to improve survival in acute variceal bleeding.
Gastroesophageal varices are present in 50% of patients with cirrhosis, and variceal hemorrhage develops in up to one third of these patients. The risk of variceal hemorrhage is increased in patients who have large varices and advanced stages of liver disease, as assessed on the basis of the Child– Pugh class.1 Several studies published between 1942 and 1981 showed poor outcomes after variceal ...
متن کاملEarly use of TIPS in patients with cirrhosis and variceal bleeding.
BACKGROUND Patients with cirrhosis in Child-Pugh class C or those in class B who have persistent bleeding at endoscopy are at high risk for treatment failure and a poor prognosis, even if they have undergone rescue treatment with a transjugular intrahepatic portosystemic shunt (TIPS). This study evaluated the earlier use of TIPS in such patients. METHODS We randomly assigned, within 24 hours ...
متن کاملClinical Results of the Transjugular Intrahepatic Portosystemic Shunt (TIPS) for the Treatment of Variceal Bleeding
BACKGROUND Transjugular intrahepatic portosystemic shunt (TIPS) has been popularized for the treatment of refractory variceal bleeding. The aim of this study was to assess the safety and long-term effect of TIPS in the treatment of variceal bleeding that is not controlled with pharmacological and endoscopic treatment. METHODS Thirty-six patients who underwent transjugular intrahepatic portosy...
متن کاملCovered TIPS for secondary prophylaxis of variceal bleeding in liver cirrhosis
BACKGROUND In the era of bare stents, transjugular intrahepatic portosystemic shunt (TIPS) is the second-line choice of therapy for the prevention of variceal rebleeding in liver cirrhosis. In the era of covered stents, the role of TIPS should be re-evaluated. AIM The aim of the study was to compare the outcomes of covered TIPS versus the traditional first-line therapy (i.e, drug plus endosco...
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ژورنال
عنوان ژورنال: Hepatology International
سال: 2010
ISSN: 1936-0533,1936-0541
DOI: 10.1007/s12072-010-9206-2