Role of Tips in Acute Variceal Bleeding

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dc.contributor.authorHuerta, Anna
dc.contributor.authorGarcía Guix, Marta
dc.contributor.authorVillanueva, Càndid
dc.date.accessioned2025-08-29T11:38:22Z
dc.date.available2025-08-29T11:38:22Z
dc.date.issued2025-07-26
dc.date.updated2025-08-26T11:21:06Z
dc.description.abstractPurpose of reviewWe aimed to review the role of TIPS in acute variceal bleeding (AVB), focusing on preemptive-TIPS (p-TIPS) as discrepant data suggest room for refinement.Recent findingsSalvage-TIPS can effectively control ongoing AVB despite first-line therapy, but mortality is high. Placing a p-TIPS to prevent failure in high-risk patients may improve survival. This is related to its effect decreasing the overall risk of a further decompensation (FD), not just rebleeding but also ascites and derived complications.SummaryFD is closely related to death risk after AVB. The risk of FD and death concentrates in patients presenting with ascites +/- HE in addition to AVB. p-TIPS improve survival, not only by decreasing rebleeding risk, but mainly FD overall. This review suggests potential improvements to optimize p-TIPS, such as improving risk stratification, restricting the indication to patients with AVB and ascites +/- HE, or selectively identifying those at high-risk of failure (10%-15% cases) for an early placement. Research on these issues is warranted.
dc.format.extent17 p.
dc.format.mimetypeapplication/pdf
dc.identifier.issn2195-9595
dc.identifier.urihttps://hdl.handle.net/2445/222843
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.isformatofReproducció del document publicat a: https://doi.org/10.1007/s11901-025-00694-7
dc.relation.ispartofCurrent Hepatology Reports, 2025, vol. 24, num. 1
dc.relation.urihttps://doi.org/10.1007/s11901-025-00694-7
dc.rightscc by (c) Huerta, Anna et al, 2025
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.sourceArticles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
dc.subject.classificationVarices
dc.subject.classificationHemorràgia
dc.subject.otherVaricose veins
dc.subject.otherHemorrhage
dc.titleRole of Tips in Acute Variceal Bleeding
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion

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