Pre-emptive TIPS should be considered in high-risk patients with both acute variceal bleeding and severe alcohol-related hepatitis

[Background & Aims] Severe alcohol-related hepatitis (AH) and acute variceal bleeding (AVB) may occur simultaneously. The impact of a pre-emptive transjugular intrahepatic portosystemic shunt (pTIPS) in high-risk patients (patients with Child–Pugh (CP) B and active bleeding or CP C10–13 cirrhosi...

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Detalles Bibliográficos
Autores: Rudler, Marika, Hernández Gea, Virginia, Larrue, Hélène, Bouzbib, Charlotte, Procopet, Bogdan, Baiges, Anna, Turon, Fanny, Villanueva, Cándido, Albillos, Agustín, Alvarado-Tapias, Edilmar, Gluud, Lise L., Praktiknjo, Michael, Genesca, Joan, Ventura-Cots, Meritxell, Villagrasa, Ares, Rodrigues, Susanna, Mouri, Sarah, Giráldez-Gallego, Álvaro, Masnou Ridaura, Helena, Laleman, Wim, Bureau, Christophe, Robic, Marie-Angèle, Hartl, Lukas, Tellez, Luis, Zipprich, Alexander, Canete, Nuria, Sultanik, Philippe, Deckmyn, Olivier, Mandorfer, Mattias, Senzolo, Marco, Schepis, Filippo, Tripathi, Dhiraj, García-Pagán, Joan Carles, Thabut, Dominique
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/413092
Acceso en línea:http://hdl.handle.net/10261/413092
https://api.elsevier.com/content/abstract/scopus_id/105022182563
Access Level:acceso abierto
Palabra clave:Acute variceal bleeding
Cirrhosis
Portal hypertension
Severe alcohol-related hepatitis
TIPS
Descripción
Sumario:[Background & Aims] Severe alcohol-related hepatitis (AH) and acute variceal bleeding (AVB) may occur simultaneously. The impact of a pre-emptive transjugular intrahepatic portosystemic shunt (pTIPS) in high-risk patients (patients with Child–Pugh (CP) B and active bleeding or CP C10–13 cirrhosis) with AVB and concomitant severe AH is unknown. The objective of the study was to compare the outcomes of severe AH in patients with high-risk AVB treated with pTIPS or endoscopic and drug treatment (Endo+drugs).

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