caa a22 4500 445797827 CHVBK 20180317145131.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s10620-011-1744-5 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1744-5 Follow-Up Study of Transjugular Intrahepatic Portosystemic Shunt in the Treatment of Portal Hypertension [Elektronische Daten] [Hui Xue, Jia Yuan, Ying Chao-Li, Muna Palikhe, Jia Wang, Liang shan-Lv, Wen Qiao] Objective: To evaluate efficacy and complications for cirrhotic patients with variceal bleeding receiving TIPS. Methods: Of 137 patients who underwent TIPS from 2002 to 2009, 80 patients were included in this study. Information about the incidence of portosystemic encephalopathy (PSE) and rebleeding, and factors then which affected them, was collected by telephone call, letters, or follow-up visits in the out-patient department. Results: (1) TIPS can significantly reduce portal pressure and the risk of variceal bleeding. (2) A coated stent during TIPS can significantly reduce the occurrence of rebleeding in contrast with use of a bare stent (13.51% vs. 32.56%, P<0.05). (3) Incidence of PSE is related to the diameter of the stent; the wider the stent used, the greater the incidence of PSE. TIPS using the left branch of the portal vein can reduce the incidence of PSE. (4) TIPS combined with embolization has no effect on the incidence of rebleeding or PSE. (5) Mean survival was 77.098months (95% CI, 68.568-85.628) and median survival 82.000months (95% CI, 68.539-95.461) according to Kaplan-Meier survival analysis. Conclusion: It is suggested that coated stents should be used to reduce rebleeding. It is recommended that 8mm stents should be used for CHILD A and C patients and 8-10mm stents for CHILD B patients during TIPS, and that TIPS should be considered as first-line therapy because it improves cumulative survival for cirrhotic patients with gastroesophageal variceal bleeding. Springer Science+Business Media, LLC, 2011 TIPS nationallicence Portal hypertension nationallicence Portosystemic encephalopathy nationallicence Rebleeding nationallicence Xue Hui Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut Yuan Jia Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut Chao-Li Ying Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut Palikhe Muna Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut Wang Jia Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut shan-Lv Liang Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut Qiao Wen Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/11(2011-11-01), 3350-3356 0163-2116 56:11<3350 2011 56 10620 https://doi.org/10.1007/s10620-011-1744-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1744-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Xue Hui Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut NATIONALLICENCE 700 1- Yuan Jia Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut NATIONALLICENCE 700 1- Chao-Li Ying Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut NATIONALLICENCE 700 1- Palikhe Muna Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut NATIONALLICENCE 700 1- Wang Jia Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut NATIONALLICENCE 700 1- shan-Lv Liang Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut NATIONALLICENCE 700 1- Qiao Wen Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, 277 West Yanta Road, 710061, Xi'an, China aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/11(2011-11-01), 3350-3356 0163-2116 56:11<3350 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer