Role of Transjugular Intrahepatic Portosystemic Shunts in the Management of Hepatopulmonary Syndrome: A Systemic Literature Review

Tsauo, Jiaywei; Weng, Ningna; Ma, Huaiyuan; Jiang, Meng; Zhao, He; Xiao, Li

doi:10.1016/j.jvir.2015.04.017

Cited by 28 publications

(14 citation statements)

References 30 publications

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“…However, data are insufficient even when a systemic analysis review is considered. 542 In addition, there is some concern that TIPS can enhance pulmonary vasodilation by exacerbating the hyperkinetic circulation. Thus, no recommendation for the use TIPS to treat HPS can be given.…”

Section: Natural Historymentioning

confidence: 99%

EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis

Angeli¹,

Bernardi

Villanueva³

et al. 2018

Journal of Hepatology

2,054

1,750

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The natural history of cirrhosis is characterised by an asymptomatic compensated phase followed by a decompensated phase, marked by the development of overt clinical signs, the most frequent of which are ascites, bleeding, encephalopathy, and jaundice. The following Clinical Practice Guidelines (CPGs) represent the first CPGs on the management of decompensated cirrhosis. In this context, the panel of experts, having emphasised the importance of initiating aetiologic treatment for any degree of hepatic disease at the earliest possible stage, extended its work to all the complications of cirrhosis, which had not been covered by the European Association for the Study of the Liver guidelines, namely: ascites, refractory ascites, hyponatremia, gastrointestinal bleeding, bacterial infections, acute kidney injury, hepatorenal syndrome, acute-on-chronic liver failure, relative adrenal failure, cirrhotic cardiomyopathy, hepatopulmonary syndrome, and porto-pulmonary hypertension. The panel of experts, produced these GPGs using evidence from PubMed and Cochrane database searches providing up to date guidance on the management of decompensated cirrhosis with the only purpose of improving clinical practice.

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Section: Natural Historymentioning

confidence: 99%

EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis

Angeli¹,

Bernardi

Villanueva³

et al. 2018

Journal of Hepatology

2,054

1,750

View full text Add to dashboard Cite

show abstract

“…TIPS is recommended for the management of refractory or recurrent gastroesophageal variceal bleeding, diuretic-intolerant and diuretic-refractory ascites, or hepatic hydrothorax. 36 Data also suggest a benefit of TIPS in hepatorenal 37 and hepatopulmonary syndromes 38,39 ; however, the available data are insufficient to support the routine use of TIPS for these indications.…”

Section: Diagnosis Of Portal Hypertensionmentioning

confidence: 99%

Portal Hypertension and Related Complications: Diagnosis and Management

Simonetto

Liu

Kamath

2019

Mayo Clinic Proceedings

163

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“…The results obtained are contradictory, as of today there are no clear-cut criteria that would allow to isolate a group of patients with HPS obtaining measurable benefits by the application of the vascular anastomosis. [14][15][16] As a palliative procedure, embolisaton of thickened vessels or local resections of the pulmonary tissue that contains them is adopted [7]. In connection with the values obtained in gasometry in the patient described herein, the patient was directly qualified to lung transplantation as the target treatment.…”

Section: Discussionmentioning

confidence: 99%

Dyspnoea, Cyanosis and Digital Clubbing in a 28-Year-Old Patient as a Result of Hepatopulmonary Syndrome

Zieliński

Hartleb

Sitek³

2017

Advances in Respiratory Medicine

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This paper presents a case of a young patient with cyanosis and digital clubbing, until then an active, sporty person. He sought medical assistance due to the growing dyspnoea and the drop of effort tolerance. Initially the diagnostic process focused on the confirmation of the suspicion of pulmonary fibrosis or another interstitial lung disease as causes of the respiratory failure. Due to the atypical presentation of the symptoms, reaching the final diagnosis of digestive system disease with lung involvement required a more thorough multifaceted diagnostics of a number of systems and organs.

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Role of Transjugular Intrahepatic Portosystemic Shunts in the Management of Hepatopulmonary Syndrome: A Systemic Literature Review

Cited by 28 publications

References 30 publications

EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis

EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis

Portal Hypertension and Related Complications: Diagnosis and Management

Dyspnoea, Cyanosis and Digital Clubbing in a 28-Year-Old Patient as a Result of Hepatopulmonary Syndrome

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