Transjugular intrahepatic portosystemic stent-shunt in the management of portal hypertension.


Journal

Gut
ISSN: 1468-3288
Titre abrégé: Gut
Pays: England
ID NLM: 2985108R

Informations de publication

Date de publication:
07 2020
Historique:
received: 02 11 2019
revised: 20 01 2020
accepted: 22 01 2020
pubmed: 3 3 2020
medline: 17 2 2021
entrez: 2 3 2020
Statut: ppublish

Résumé

These guidelines on transjugular intrahepatic portosystemic stent-shunt (TIPSS) in the management of portal hypertension have been commissioned by the Clinical Services and Standards Committee (CSSC) of the British Society of Gastroenterology (BSG) under the auspices of the Liver Section of the BSG. The guidelines are new and have been produced in collaboration with the British Society of Interventional Radiology (BSIR) and British Association of the Study of the Liver (BASL). The guidelines development group comprises elected members of the BSG Liver Section, representation from BASL, a nursing representative and two patient representatives. The quality of evidence and grading of recommendations was appraised using the GRADE system. These guidelines are aimed at healthcare professionals considering referring a patient for a TIPSS. They comprise the following subheadings: indications; patient selection; procedural details; complications; and research agenda. They are not designed to address: the management of the underlying liver disease; the role of TIPSS in children; or complex technical and procedural aspects of TIPSS.

Identifiants

pubmed: 32114503
pii: gutjnl-2019-320221
doi: 10.1136/gutjnl-2019-320221
pmc: PMC7306985
doi:

Types de publication

Journal Article Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

1173-1192

Commentaires et corrections

Type : CommentIn

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: Dr David Patch: contribution to charity-administered educational fund for teaching purposes (Cook Medical). Dr Dhiraj Tripathi: educational funding (Gore Ltd). Chief investigator of CALIBRE trial investigating non-selective beta-blockers versus variceal band ligation in variceal bleeding (NIHR HTA funding). Member of National Institute of Health and Care Excellence (NICE) Interventional Procedures Advisory Committee (IPAC). Dr Homoyon Mehrzad: speaker fees (Gore Ltd) and educational funding (Gore Ltd). Professor Peter Hayes: speaker fees (Gore Medical). Dr Simon Travis: educational donations for sponsorship to attend scientific meetings and fund courses to train on specific equipment (Abbott Medical, Gore Ltd, Boston Scientific). Dr Richard Aspinall: trustee to charity Liver4Life. Other authors have not declared any conflicts of interest.

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Auteurs

Dhiraj Tripathi (D)

Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK d.tripathi@bham.ac.uk.
Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.

Adrian J Stanley (AJ)

Gastroenterology Department, Glasgow Royal Infirmary, Glasgow, UK.

Peter C Hayes (PC)

Hepatology Department, Royal Infirmary of Edinburgh, Edinburgh, UK.

Simon Travis (S)

Department if Radiology, Queen's Medical Centre Nottingham University Hospital NHS Trust, Nottingham, UK.

Matthew J Armstrong (MJ)

Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.

Emmanuel A Tsochatzis (EA)

The Royal Free Sheila Sherlock Liver Centre, UCL Institute for Liver and Digestive Health, London, UK.

Ian A Rowe (IA)

University of Leeds, Leeds, UK.

Hamish Ireland (H)

Department of Radiology, Royal Infirmary of Edinburgh, Edinburgh, UK.

Mandy Lomax (M)

Walton on Thames, UK.

Joanne A Leithead (JA)

Liver Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK.

Homoyon Mehrzad (H)

Department of Radiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Richard J Aspinall (RJ)

Department of Hepatology, Portsmouth Hospitals NHS Trust, Portsmouth, UK.

Joanne McDonagh (J)

Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

David Patch (D)

The Royal Free Sheila Sherlock Liver Centre, UCL Institute for Liver and Digestive Health, London, UK.

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