Transjugular Intrahepatic Portosystemic Shunt (TIPS): A Bridge to Bariatric Surgery in Morbidly Obese Patients with Cirrhosis and Clinically Significant Portal Hypertension.

• Tác giả: Yasmina Chouik, Jérôme Dumortier, Laurent Genser, Caroline Jezéquel, Hélène Larrue, Louise Lebedel, Emilie Malézieux, Lucile Moga, Raluca Pais, Vlad Ratziu, Hélène Regnault, Maud Robert, Marika Rudler, Christine Silvain, Dominique Thabut, Delphine Weill
• Ngôn ngữ: eng
• Ký hiệu phân loại: 553.453 Tin
• Thông tin xuất bản: United States : Obesity surgery , 2025
• Bộ sưu tập: NCBI
• ID: 189377

Tóm tắt

 BACKGROUND: In cirrhotic patients, portal hypertension increases mortality after surgery. We evaluated the impact of pre-operative transjugular intrahepatic portosystemic shunt (TIPS) on the outcomes of bariatric surgery in cirrhosis. METHODS: Multicentric retrospective cohort. The decision for TIPS placement has been made according to hepatic venous pressure gradient (HVPG) values and centers' policy. The primary outcome: 1-year decompensation-free survival
  secondary outcomes: 1-year acute-on-chronic liver failure (ACLF) and survival. RESULTS: Fifty-three patients were included (2010-2022): 92% Child-Pugh A, MELD score 8, age 55 years, BMI 38.3 ± 13 kg/m CONCLUSIONS: In patients with cirrhosis and clinically significant portal hypertension (CSPH) undergoing bariatric surgery, TIPS placement was safe and had similar outcomes after surgery as patients without TIPS.