Zeitschrift fur Gastroenterologie · 2025
[Position paper for the standardized use of transjugular intrahepatic portosystemic shunt (TIPS) in adults].
Аннотация на английскомСтатьяConsensus StatementНазвание и аннотация: Перевод в очереди
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Trebicka Jonel, Steib Christian, Zipprich Alexander, Ripoll Cristina, Kluwe Johannes, Schultheiß Michael, Schnitzbauer Andreas A, Meyer Bernhard, Jansen Christian, Heinzow Hauke, Papprottka Philipp, Meyer Carsten, Seidensticker Max, Ittrich Harald, Uschner Frank Erhard, Gu Wenyi, Aehling Niklas, Neumann Ulf, Caca Karel, Köhler Michael, Seifert Leon Louis, Betinger Dominik, Bruns Tony, Dollinger Matthias, Praktiknjo Michael, Berg Thomas, Wildgruber Moritz, Pitton Michael B, Goessmann Holger, Gerbes Alexander, Rössle Martin, Freigegeben durch:
Аннотация
Portal hypertension is associated with significant morbidity and mortality. Liver cirrhosis accounts for up to 90 % of portal hypertension cases, while approximately 10 % are due to non-cirrhotic factors, including vascular liver diseases.This condition can lead to various complications, such as the development of gastroesophageal varices, which greatly increase the risk of variceal bleeding. Other common complications of portal hypertension include ascites and hepatorenal syndrome (HRS).The transjugular intrahepatic portosystemic shunt (TIPS) procedure is regarded as the most effective treatment for managing portal hypertension. Research shows that TIPS insertion can improve survival rates for patients with recurrent ascites, as well as for select individuals with refractory ascites and variceal bleeding. However, peri-interventional and post-interventional complications may pose challenges to the use of TIPS. Recent advancements in devices, techniques, and prophylactic medications aim to minimize the risk of complications following this procedure.This interdisciplinary position paper summarizes recommendations and guidance regarding patient selection, indications and contraindications, techniques, and follow-up care for patients undergoing TIPS in Germany.