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ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 38 Issue 6
Jun.  2022
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Article Navigation >  Journal of Clinical Hepatology  > 2022  >  38(6): 1229-1233

Application status and future prospect of transjugular intrahepatic portosystemic shunt in gastroesophageal variceal bleeding in liver cirrhosis

DOI: 10.3969/j.issn.1001-5256.2022.06.004
  • 1.

    Department of Gastroenterology, Xijing Hospital, Air Force Medical University, Xi'an 710032, China

  • 2.

    Military Medical Innovation Center, Air Force Medical University, Xi'an 710032, China

  • 3.

    Department of Digestive Intervention, Digestive Diseases Hospital, Xi'an International Medical Center Hospital, Xi'an 710100, China

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  • Corresponding author: HAN Guohong, 13991969930@126.com (ORCID: 0000-0003-4568-3776)
  • Received Date: 2022-05-01
  • Accepted Date: 2022-06-02
  • Published Date: 2022-06-20
    Abstract
  • Gastroesophageal variceal bleeding is the life-threating complication of cirrhotic portal hypertension, and transjugular intrahepatic portosystemic shunt (TIPS) is an effective therapy for portal hypertension-related complications. TIPS can be used for the prevention of first-time bleeding in patients with recurrent or intractable ascites. TIPS should be performed as early as possible for patients at a high risk of acute variceal bleeding (Child-Pugh class C < 14 points or Child-Pugh class B > 7 points with active bleeding on endoscopy or hepatic venous pressure > 20 mmHg). TIPS is an effective salvage therapy for acute variceal bleeding with failure after standard treatment, and is also a second-line option for preventing variceal rebleeding.

     

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