Incidence of postoperative hepatic encephalopathy in transjugular intrahepatic portosystemic shunt: a systematic review
10.3760/cma.j.issn.1005?1201.2017.03.010
- VernacularTitle:经颈静脉肝内门体分流术中穿刺门静脉不同支对术后肝性脑病发生率影响的系统评价
- Author:
Fuquan MA
;
Weizhi LI
;
Peijie LI
;
Mengying LIU
;
Junyi ZHENG
;
Hui XUE
- Keywords:
Hypertension;
portal;
Portasystemic shunt;
transjugular intrahepatic;
Hepatic encephalopathy;
Incidence;
Systematic review
- From:
Chinese Journal of Radiology
2017;51(3):202-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of puncture the left or right branch of portal vein on the incidence of postoperative hepatic encephalopathy in transjugular intrahepatic portosystemic shunt (TIPS). Methods A literature search was conducted through investigating PubMed, Cochrane Library, CNKI digital library and Wanfang databases. Randomized controlled trials and cohort studies related to the effect of puncture the left or right branch of portal vein on the incidence of postoperative hepatic encephalopathy in TIPS were included in this review. According to the methods for Cochrane systematic review, the data were extracted, the quality of the literatures was evaluated, statistical analysis was conducted and the data were analyzed with RevMan 5.0. Results One randomized controlled trial and four cohort studies, including 552 patients with liver cirrhosis received TIPS, were finally included in this review. Random-effects model meta-analysis showed that puncture of the left branch of portal vein in TIPS caused lower incidence of postoperative hepatic encephalopathy than puncture of the right branch of portal vein (RR=0.51, 95%CI was 0.39 to 0.66, P<0.01). Conclusion Puncture of the left branch of portal vein in TIPS can significantly reduce the incidence of postoperative hepatic encephalopathy in comparison with puncture of the right branch of portal vein.
