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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): 1535-1540

Current status and advances in transjugular intrahepatic portosystemic shunt in treatment of refractory ascites due to portal hypertension

DOI: 10.3969/j.issn.1001-5256.2023.07.004

  • Intervention Center of Hepatobiliary and Pancreatic Diseases; Zhejiang Provincial Clinical Medical Research Center of Hepatobiliary and Pancreatic Diseases, Zhejiang Provincial Research Center of Diagnosis and Treatment Techniques for Severe Hepatobiliary Diseases (Transplantation); The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China

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  • Corresponding author: SUN Junhui, 1307005@zju.edu.cn (ORCID: 0000-0003-1947-8330)
  • Received Date: 2023-05-03
  • Accepted Date: 2023-06-05
  • Published Date: 2023-07-20
    Abstract
  • Refractory ascites is one of the common complications of portal hypertension in decompensated liver cirrhosis and is characterized by extremely poor prognosis and high mortality rate. Transjugular intrahepatic portosystemic shunt (TIPS) is recommended by several international and national guidelines as one of the treatment methods after failure of large volume paracentesis combined protein infusion therapy. TIPS can effectively control the recurrence of ascites, but it can increase the risk of hepatic encephalopathy, and there are still controversies over whether it can prolong survival time. With a deeper understanding of TIPS, the maturity of surgical techniques, and the update of stent materials, it is urgent to reevaluate the position of TIPS in the treatment of refractory ascites due to portal hypertension. This article reviews the current status and advances in TIPS for the treatment of refractory ascites due to portal hypertension.

     

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