Author/Editor		Popovič, Petar; Štabuc, Borut; Skok, Pavel; Šurlan, Miloš
Title		Transjugular intrahepatic portosystemic shunt versus endoscopic sclerotherapy in the elective treatment of recurrent variceal bleeding
Type		članek
Source		J Int Med Res
Vol. and No.		Letnik 38, št. 3
Publication year		2010
Volume		str. 1121-33
Language		eng
Abstract		The present study was designed to compare elective transjugular intrahepatic portosystemic shunts (TIPS) and endoscopic sclerotherapy (EST) in terms of their efficacy in preventing recurrent bleeding from gastro-oesophageal varices in patients with advanced liver cirrhosis and portal hypertension. Of 96 patients with at least three gastro-oesophageal variceal rebleeds, 50 were treated with elective TIPS and 46 with EST. Recurrent variceal bleeding was significantly more frequent in patients receiving EST treatment compared with those receiving TIPS (45.7% versus 6.3%, respectively). Cumulative 1- and 4-year survival in the TIPS group was 83.0% and 73.5%, respectively, compared with 69.8% and 39.8% in the EST group, respectively. The rate of portosystemic encephalopathy was 33.3% in the TIPS group and 37.0% in the EST group. Elective TIPS was more effective than EST in the prevention of gastro-oesophageal variceal rebleeding in cirrhotic patients, it improved survival and it was associated with a similar rate of portosystemic encephalopathy.
Descriptors		VARICOSE VEINS HEMORRHAGE HYPERTENSION, PORTAL SCLEROTHERAPY PORTASYSTEMIC SHUNT, TRANSJUGULAR INTRAHEPATIC ENDOSCOPY LIVER CIRRHOSIS