Transjugular intrahepatic portosystemic shunt combined with collateral vessel embolization in treatment of gastroesophageal variceal bleeding in liver cirrhosis： Research advances and controversies
10.3969/j.issn.1001-5256.2023.10.026
- VernacularTitle:经颈静脉肝内门体分流术中联合侧支血管栓塞治疗肝硬化食管胃静脉曲张出血的应用进展与争议
- Author:
Qiong WU
1
;
Lianhui ZHAO
2
;
Guangchuan WANG
1
;
Chunqing ZHANG
1
Author Information
1. Department of Gastroenterology， Shandong Provincial Hospital Affiliated to Shandong First Medical University， Jinan 250021， China
2. Department of Infectious Diseases， Qilu Hospital， Shandong University， Jinan 250021， China
- Publication Type:Review
- Keywords:
Liver Cirrhosis;
Esophageal and Gastric Varices;
Portasystemic Shunt， Transjugular Intrahepatic;
Embolization， Therapeutic
- From:
Journal of Clinical Hepatology
2023;39(10):2460-2463
- CountryChina
- Language:Chinese
-
Abstract:
Transjugular intrahepatic portosystemic shunt （TIPS） has been recommended as a treatment method for cirrhotic portal hypertension in domestic and foreign guidelines， but there is still uncertainty in its therapeutic efficacy. More and more studies have shown that TIPS combined with collateral vessel embolization （TIPS+E） has certain advantages in the treatment of gastroesophageal variceal bleeding in liver cirrhosis. This article reviews the major studies on TIPS+E in China and globally， summarizes related recommendations in guidelines and the current status of clinical application， and proposes the issues that need to be solved， such as indication， hemodynamic criteria， and selection of materials for embolization， and large－sample multicenter randomized controlled trials are needed for further clarification.
