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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 39 Issue 7
Jul.  2023
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Article Navigation >  Journal of Clinical Hepatology  > 2023  >  39(7): 1529-1534

Comparison of endoscopic therapy and TIPS in prophylaxis and treatment of variceal bleeding in decompensated portal hypertension

DOI: 10.3969/j.issn.1001-5256.2023.07.003
  • 1.

    Department of Gastroenterology, The Frist Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China

  • 2.

    Xi'an Jiaotong University Health Science Center, Xi'an 710061, China

Research funding:

Key Research and Development Program of Shaanxi Provincial in China (2020SF-073);

Key Research and Development Program of Shaanxi Provincial in China (2021SF-126);

Key Research and Development Program of Shaanxi Provincial in China (2018SF-051);

Key Research and Development Program of Shaanxi Provincial in China (2019SF-195)

More Information
  • Corresponding author: XUE Hui, zj2@mail.xjtu.edu.cn (ORICD: 0000-0003-3837-5361)
  • Received Date: 2023-05-09
  • Accepted Date: 2023-06-10
  • Published Date: 2023-07-20
    Abstract
  • Esophagogastric variceal bleeding (EGVB) is one of the main complications of decompensated portal hypertension, especially in patients with liver cirrhosis, and it often has a high mortality rate. Medication combined with endoscopy is the main prevention and treatment method for EGVB, while transjugular intrahepatic portosystemic shunt (TIPS) combined with variceal embolization can also be selected for some high-risk patients, and individualized diagnosis and treatment of portal hypertension based on hepatic venous pressure gradient should become the latest consensus and the main strategy. This article mainly reviews endoscopic therapy and TIPS for the prevention and treatment of EGVB patients with decompensated portal hypertension in terms of selection of indications, incidence rate of complications, and respective advantages and disadvantages.

     

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