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Surgical portosystemic shunts versus transjugular intrahepatic portosystemic shunt for variceal haemorrhage in people with cirrhosis.


ABSTRACT:

SUBMITTER: Brand M 

PROVIDER: S-EPMC6516991 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Surgical portosystemic shunts versus transjugular intrahepatic portosystemic shunt for variceal haemorrhage in people with cirrhosis.

Brand Martin M   Prodehl Leanne L   Ede Chikwendu J CJ  

The Cochrane database of systematic reviews 20181031


<h4>Background</h4>Variceal haemorrhage that is refractory or recurs after pharmacologic and endoscopic therapy requires a portal decompression shunt (either surgical shunts or radiologic shunt, transjugular intrahepatic portosystemic shunt (TIPS)). TIPS has become the shunt of choice; however, is it the preferred option? This review assesses evidence for the comparisons of surgical portosystemic shunts versus TIPS for variceal haemorrhage in people with cirrhotic portal hypertension.<h4>Objecti  ...[more]

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