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Current Hepatology Reports
Published in: Current Hepatology Reports 1/2024

11-01-2024 | Ascites

TIPS for Refractory Ascites and Hepatic Hydrothorax

Authors: Anjana Rajan, Justin Boike

Published in: Current Hepatology Reports | Issue 1/2024

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Abstract

Purpose of Review

This review summarizes the pathophysiology of portal hypertension, outcome data through the years supporting the use of TIPS in refractory ascites (RA) and hepatic hydrothorax (HH), and considerations for ideal TIPS candidates.

Recent Findings

Advances in stent technology over the last three decades have dramatically improved both quality of life and survival for patients with RA and HH. Importantly, the advent of controlled-expansion, covered stents has reduced the incidence of post-TIPS hepatic encephalopathy (HE) and mortality rates.

Summary

Controlled-expansion covered stents are now the guideline-recommended device for patients undergoing TIPS. Prospective trials including these newer TIPS recipients are still needed to determine ideal stent diameter, effective intra-operative portosystemic gradient cutoffs, and utility of pharmacologic HE prophylaxis for the indications of RA and/or HH.
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Metadata
Title
TIPS for Refractory Ascites and Hepatic Hydrothorax
Authors
Anjana Rajan
Justin Boike
Publication date
11-01-2024
Publisher
Springer US
Published in
Current Hepatology Reports / Issue 1/2024
Electronic ISSN: 2195-9595
DOI
https://doi.org/10.1007/s11901-023-00625-4

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Current Hepatology Reports 1/2024 Go to the issue

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Worldwide Increasing Prevalence of Non-alcoholic Steatohepatitis as an Indication of Liver Transplantation: Epidemiological View and Implications

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Endocrinology for the Hepatologist

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Update on HCC Surveillance in Patient With Hepatitis B Virus Infection With Focus on Biomarkers

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Addiction and Liver Disease: Exploring the Complex Relationship and Implications for Clinical Management

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Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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Obesity Clinical Trial Summary

At a glance: The STEP trials

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A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
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