Transjugular intrahepatic portosystemic stent-shunt in the management of portal hypertension

被引：261

作者：

Tripathi, Dhiraj ^{[1
,2
,3
,4
]}

Stanley, Adrian J. ^{[5
]}

Hayes, Peter C. ^{[6
]}

Travis, Simon ^{[7
]}

Armstrong, Matthew J. ^{[1
,2
,3
,4
]}

Tsochatzis, Emmanuel A. ^{[8
]}

Rowe, Ian A. ^{[9
]}

Roslund, Nicholas

Ireland, Hamish ^{[10
]}

Lomax, Mandy

Leithead, Joanne A. ^{[11
]}

Mehrzad, Homoyon ^{[12
]}

Aspinall, Richard J. ^{[13
]}

McDonagh, Joanne ^{[1
]}

Patch, David ^{[8
]}

机构：

[1] Univ Hosp Birmingham NHS Fdn Trust, Liver Unit, Birmingham B15 2TH, W Midlands, England

[2] Univ Birmingham, Inst Immunol & Immunotherapy, Birmingham, W Midlands, England

[3] Univ Hosp Birmingham NHS Fdn Trust, NIHR Birmingham Biomed Res Ctr, Birmingham, W Midlands, England

[4] Univ Birmingham, Birmingham, W Midlands, England

[5] Glasgow Royal Infirm, Gastroenterol Dept, Glasgow, Lanark, Scotland

[6] Royal Infirm Edinburgh NHS Trust, Hepatol Dept, Edinburgh, Midlothian, Scotland

[7] Nottingham Univ Hosp NHS Trust, Queens Med Ctr, Dept Radiol, Nottingham, England

[8] UCL Inst Liver & Digest Hlth, Royal Free Sheila Sherlock Liver Ctr, London, England

[9] Univ Leeds, Leeds, W Yorkshire, England

[10] Royal Infirm Edinburgh NHS Trust, Dept Radiol, Edinburgh, Midlothian, Scotland

[11] Cambridge Univ Hosp NHS Fdn Trust, Liver Unit, Cambridge, England

[12] Univ Hosp Birmingham NHS Fdn Trust, Dept Radiol, Birmingham, W Midlands, England

[13] Portsmouth Hosp NHS Trust, Dept Hepatol, Portsmouth, Hants, England

来源：

GUT | 2020年 / 69卷 / 07期

关键词：

portal hypertension; interventional radiology; ascites; oesophageal varices; BUDD-CHIARI-SYNDROME; REFRACTORY HEPATIC HYDROTHORAX; BLEEDING ECTOPIC VARICES; PARACENTESIS PLUS ALBUMIN; BRAIN NATRIURETIC PEPTIDE; LONG-TERM; CIRRHOTIC-PATIENTS; VEIN THROMBOSIS; LIVER-TRANSPLANTATION; HEPATORENAL-SYNDROME;

D O I：

10.1136/gutjnl-2019-320221

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

These guidelines on transjugular intrahepatic portosystemic stent-shunt (TIPSS) in the management of portal hypertension have been commissioned by the Clinical Services and Standards Committee (CSSC) of the British Society of Gastroenterology (BSG) under the auspices of the Liver Section of the BSG. The guidelines are new and have been produced in collaboration with the British Society of Interventional Radiology (BSIR) and British Association of the Study of the Liver (BASL). The guidelines development group comprises elected members of the BSG Liver Section, representation from BASL, a nursing representative and two patient representatives. The quality of evidence and grading of recommendations was appraised using the GRADE system. These guidelines are aimed at healthcare professionals considering referring a patient for a TIPSS. They comprise the following subheadings: indications; patient selection; procedural details; complications; and research agenda. They are not designed to address: the management of the underlying liver disease; the role of TIPSS in children; or complex technical and procedural aspects of TIPSS.

引用

页码：1173 / 1192

页数：20

共 187 条

[1] A meta-analysis of transjugular intrahepatic portosystemic shunt versus paracentesis for refractory ascites [J].