Abstract
Aim: This evidence-based case report aims to determine whether the surgical shunt is better than the trans-jugular intrahepatic portosystemic shunt (TIPS) to prevent re-bleeding in patients with portal hypertension due to liver cirrhosis.
Method: Literature searching was performed in 4 online databases, Cochrane, PubMed, Embase, and SCOPUS. Three meta-analyses were appraised critically.
Results: Of all meta-analyses included, the internal validities were poor and only included a small number of trials. However, the results show that surgical shunt is better for preventing variceal re-bleeding with varied heterogeneities.
Conclusion: Surgical shunts may have benefits over TIPS in preventing variceal re-bleeding.
Method: Literature searching was performed in 4 online databases, Cochrane, PubMed, Embase, and SCOPUS. Three meta-analyses were appraised critically.
Results: Of all meta-analyses included, the internal validities were poor and only included a small number of trials. However, the results show that surgical shunt is better for preventing variceal re-bleeding with varied heterogeneities.
Conclusion: Surgical shunts may have benefits over TIPS in preventing variceal re-bleeding.
| Original language | English |
|---|---|
| Pages (from-to) | 264 |
| Journal | The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy |
| Volume | 24 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2024 |
Keywords
- portal hypertension
- secondary prevention
- surgical portosystemic shunt
- trans-jugular intrahepatic portosystemic shunt (TIPS)
- variceal re-bleeding