Preoperative TIPS prevents the development of postoperative acute-on-chronic liver failure in patients with high CLIF-C AD score

Johannes Chang,Pauline Höfer,Nina Böhling,Philipp Lingohr,Steffen Manekeller,Jörg C Kalff,Jonas Dohmen,Dominik J Kaczmarek,Christian Jansen,Carsten Meyer,Christian P Strassburg,Jonel Trebicka,Michael Praktiknjo

JHEP Reports（2022）

引用 12|浏览18

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摘要

•This study investigates the impact of preoperative TIPS on postsurgical ACLF.•Patients with preoperative TIPS, especially before visceral surgery, develop significantly lower rates of ACLF.•Preoperative TIPS is associated with improved postsurgical survival.•CLIF-C AD score >45 can be used as cut-off for patients at risk for postsurgical ACLF.•Selected patients might benefit from preoperative TIPS insertion.

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关键词

Surgery,Acute decompensation,TIPS,Cirrhosis,ACLF,Acute-on-chronic liver failure,Transjugular intrahepatic portosystemic shunt

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