[CCI clinical practice guidelines: management of TIPS for portal hypertension (2019 edition)]

Zhonghua Gan Zang Bing Za Zhi. 2019 Aug 20;27(8):582-593. doi: 10.3760/cma.j.issn.1007-3418.2019.08.002.
[Article in Chinese]

Abstract

Portal hypertension(PH) is one of the main complications of cirrhosis.Transjugular intrahepatic portosystemic shunt(TIPS) is the percutaneous creation of a conduit from the hepatic vein to the portal vein that is used to manage consequences of PH (i.e., variceal bleeding and refractory ascites) and used as a bridging therapy to liver transplant for decompensated cirrhosis. The following Clinical Practice Guidelines (CPGs) presents profession associational recommendations of the Chinese College of Interventionalists(CCI) on TIPS for PH. The CPGs was written by more than 30 experts in the field of TIPS in China (including interventional radiologists, liver surgeons, hepatologists and gastroenterologist, et al.). The panel of experts, produced these CPGs using evidence from PubMed and Cochrane database searches and combined with relevant expert consensuses and high quality clinical researches in China providing up to date guidance on TIPS for PH with the only purpose of improving clinical practice.

门静脉高压是肝硬化的主要并发症之一。经颈静脉肝内门体分流术(TIPS)是通过在肝静脉与门静脉之间的肝实质内建立分流道治疗门静脉高压相关并发症(如食管胃静脉曲张破裂出血、顽固性腹水等)的技术,也可作为肝硬化失代偿期患者等待肝移植期间的桥接治疗手段。本临床实践指南提出了中国医师协会介入医师分会(CCI)关于门静脉高压TIPS治疗的推荐意见,由我国30多位TIPS领域的专家(包括放射介入科、肝胆外科、肝病科及消化科等)使用PubMed和Cochrane数据库搜索提供的研究证据和国内相关专家共识及高质量临床研究编写而成,为门静脉高压TIPS治疗提供了最新的指导,其唯一目的是提高我国TIPS临床实践水平。.

Keywords: Clinical practice guidelines; Liver cirrhosis; Portal hypertension; Refractory ascites; Transjugular intrahepatic portosystemic shunt; Variceal bleeding.

Publication types

  • Practice Guideline

MeSH terms

  • China
  • Esophageal and Gastric Varices / therapy
  • Gastrointestinal Hemorrhage / therapy
  • Humans
  • Hypertension, Portal / therapy*
  • Liver Cirrhosis / therapy
  • Portasystemic Shunt, Transjugular Intrahepatic*
  • Treatment Outcome