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Transjugular intrahepatic portosystemic shunt versus endoscopic sclerotherapy for the prevention of variceal rebleeding after recent variceal hemorrhage

  1. Luis García-Villarreal1,*,
  2. Francisco Martínez-Lagares2,
  3. Angel Sierra1,
  4. Clemencia Guevara1,
  5. José M. Marrero1,
  6. Elena Jiménez1,
  7. Alberto Monescillo1,
  8. Teresa Hernández-Cabrero2,
  9. José M. Alonso1,
  10. Rafael Fuentes3

Article first published online: 30 DEC 2003

DOI: 10.1002/hep.510290125

Issue

Hepatology

Hepatology

Volume 29, Issue 1, pages 27–32, January 1999

Additional Information

How to Cite

García-Villarreal, L., Martínez-Lagares, F., Sierra, A., Guevara, C., Marrero, J. M., Jiménez, E., Monescillo, A., Hernández-Cabrero, T., Alonso, J. M. and Fuentes, R. (1999), Transjugular intrahepatic portosystemic shunt versus endoscopic sclerotherapy for the prevention of variceal rebleeding after recent variceal hemorrhage. Hepatology, 29: 27–32. doi: 10.1002/hep.510290125

Author Information

  1. 1

    Service of Digestive Disorders, Hospital Insular Universitario, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain

  2. 2

    Vascular and Interventional Radiology Unit, Hospital Insular Universitario, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain

  3. 3

    Service of Radiology, Hospital Insular Universitario, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain

*Servicio Digestivo, Hospital Insular Universitario, Plaza Dr Pasteur s/n, 35016 Las Palmas de Gran Canaria, Las Palmas, Spain. E-mail: fax: 34-28-444346

Publication History

  1. Issue published online: 30 DEC 2003
  2. Article first published online: 30 DEC 2003
  3. Manuscript Accepted: 4 AUG 1998
  4. Manuscript Received: 10 MAR 1998

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References

  • 1
    Graham DY, Smith JL. The course of patients after variceal hemorrhage. Gastroenterology 1981; 80:800–809.MEDLINE
  • 2
    Ready JB, Rector WG. Morbidity and mortality of portal hypertension. Drugs 1989; 37:1324.
  • 3
    Pagliaro L, Burroughs AK, Soerensen TIA, Lebrec D, Morabito A, D'Amico G, Tine F. Therapeutic controversies and randomized controlled trials (RCTs): prevention of bleeding and rebleeding in cirrhosis. Gastroenterol Int 1989; 2:71–84.
  • 4
    D'Amico G, Pagliaro L, Bosch J. The treatment of portal hypertension: a meta-analytic review. Hepatology 1995; 22:332–354.MEDLINE
    Direct Link:
  • 5
    Richter GM, Noeldge G, Palmaz JC. The transjugular intrahepatic portosystemic stent-shunt: results of a pilot study. Cardiovasc Intervent Radiol 1990; 13:200–207.MEDLINE
  • 6
    La Berge JM, Ring EJ, Gordon RL, Lake JR, Doherty MM, Somberg KA, Roberts JP, et al. Creation of transjugular intrahepatic portosystemic shunt with the wallstent endoprosthesis: results in 100 patients. Radiology 1993; 187:413–420.MEDLINE
  • 7
    Sanyal AJ, Freedman AM, Luketic VA, Purdum PP, Shiffman ML, Demeo J, Cole PE, et al. The natural history of portal hypertension after transjugular intrahepatic portosystemic shunts. Gastroenterology 1997; 112:889–898.MEDLINE
  • 8
    Cabrera J, Maynar M, Granados R, Górriz E, Reyes R, Pulido Duque JM, Rodríguez San Román JL, et al. Transjugular intrahepatic portosystemic shunt versus sclerotherapy in the elective treatment of variceal hemorrhage. Gastroenterology 1996; 110:832–839.MEDLINE
  • 9
    Sanyal AJ, Freedman AM, Luketic VA, Purdum PP, Shiffman ML, Cole PE, Tisnado J, et al. Transjugular intrahepatic portosystemic shunt (TIPS) compared with endoscopic sclerotherapy for the prevention of recurrent variceal hemorrhage: a randomized controlled trial. Ann Intern Med 1997; 126:849–857.MEDLINE
  • 10
    Cello JP, Ring EJ, Olcott EW, Koch J, Gordon R, Sandhu J, Ostroff JW, et al. Endoscopic sclerotherapy compared with percutaneous transjugular intrahepatic portosystemic shunt after initial sclerotherapy in patients with acute variceal hemorrhage. A randomized controlled trial. Ann Intern Med 1997; 126:858–865.MEDLINE
  • 11
    Rössle M, Deibert P, Haag K, Ochs A, Olschewski M, Siegerstetter V, Hauenstein K-H, et al. Randomised trial of transjugular-intrahepatic-portosystemic shunt versus endoscopy plus propranolol for prevention of variceal rebleeding. Lancet 1997; 349:1043–1049.MEDLINE
  • 12
    Jalan R, Forrest EH, Stanley AJ, Redhead DN, Forbes J, Dillon JF, MacGilchrist AJ, et al. A randomized trial comparing transjugular intrahepatic portosystemic stent-shunt with variceal band ligation in the prevention of rebleeding from esophageal varices. Hepatology 1997; 26:1115–1122.MEDLINE
  • 13
    Sauer P, Theilmann L, Stremmel W, Benz C, Richter G, Stiehl A. Transjugular intrahepatic portosystemic stent shunt versus sclerotherapy plus propranolol for variceal rebleeding. Gastroenterology 1997; 113:1623–1631.MEDLINE
  • 14
    Merli M, Salerno F, Riggio O, de Franchis R, Fiacadori F, Meddi P, Primignani M, et al. Transjugular intrahepatic portosystemic shunt versus sclerotherapy for the prevention of variceal bleeding in cirrhosis: a randomized multicenter trial. Hepatology 1998; 27:40–45.
    Direct Link:
  • 15
    Sauer P, Theilmann L, Benz C, Richter G, Stremmel W, Stiehl A. Transjugular intrahepatic portosystemic stent shunt (TIPS) vs endoscopic banding in the prevention of variceal rebleeding: interim analysis of a randomized study [Abstract]. Gastroenterology 1997; 112:A1374.
  • 16
    Parsons-Smith BG, Summerskill WHJ, Dawson AM, Sherlock S. The electroencephalography in liver disease. Lancet 1957; 2:867–871.
  • 17
    de Franchis R, Pascal J, Ancona E, Burroughs AK, Henderson M, Fleig W, Groszmann R, et al. Definitions, methodology and therapeutic strategies in portal hypertension. J Hepatol 1992; 15:256–261.MEDLINE
  • 18
    García-Tsao G, Groszmann RJ, Fisher RL, Conn HO, Atterbury CE, Glickman M. Portal pressure, presence of gastro-oesophageal varices and variceal bleeding. Hepatology 1985; 5:419–424.MEDLINE
    Direct Link:
  • 19
    Burroughs AK, Mezzanotte G, Phillips A, McCormick A, McIntyre N. Cirrhotics with variceal hemorrhage: the importance of the time interval between admission and the start of analysis for survival and rebleeding rates. Hepatology 1989; 9:801–807.MEDLINE
    Direct Link:
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