TITLE

TIPSS FOR REFRACTORY ASCITES: ARE THE TRIALS WRONG?

PUB. DATE
April 2004
SOURCE
Gut;Apr2004 Supplement 3, Vol. 53, pA90
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The article presents a study of transjugular intrahepatic portosystemic shunting (TIPSS) for refractory ascites. TIPSS has been compared to large volume paracenthesis in four randomised controlled trials with mostly poor results. It can be an effective procedure for highly selected patients with refractory ascites and may improve renal and liver function in addition to providing symptomatic relief. Use of smaller diameter dilatation may reduce the severe complications associated with TIPSS whilst maintaining efficacy, and may explain the failure of TIPSS in the recently published RCTs.
ACCESSION #
13219170

 

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