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[加拿大心血管学会临床实践指南:门静脉高压症经颈静脉肝内门体分流术的管理(2019年版)]

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

出版信息

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

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.

摘要

门静脉高压(PH)是肝硬化的主要并发症之一。经颈静脉肝内门体分流术(TIPS)是经皮建立从肝静脉到门静脉的通道,用于处理PH的后果(即静脉曲张出血和顽固性腹水),并作为失代偿期肝硬化肝移植的桥接治疗。以下临床实践指南(CPG)展示了中国介入医师学会(CCI)关于PH的TIPS专业协会建议。该CPG由中国TIPS领域的30多位专家撰写(包括介入放射科医生、肝脏外科医生、肝病学家和胃肠病学家等)。专家小组通过检索PubMed和Cochrane数据库的证据,并结合中国相关专家共识和高质量临床研究,制定了这些CPG,为PH的TIPS提供最新指导,唯一目的是改善临床实践。

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