Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Gut. 2020 Jul;69(7):1173-1192. doi: 10.1136/gutjnl-2019-320221. Epub 2020 Feb 29.
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.
这些关于经颈静脉肝内门体分流术（TIPSS）治疗门静脉高压的指南是由英国胃肠病学会（BSG）临床服务和标准委员会（CSSC）在 BSG 肝脏分会的主持下委托编写的。本指南是新制定的，与英国介入放射学会（BSIR）和英国肝脏研究协会（BASL）合作编写。指南制定小组由 BSG 肝脏分会的选举成员、BASL 的代表、一名护理代表和两名患者代表组成。使用 GRADE 系统评估证据质量和推荐等级。本指南面向考虑为患者转介 TIPSS 的医疗保健专业人员。它们包括以下小标题：适应证；患者选择；操作细节；并发症；以及研究议程。它们并非旨在解决：基础肝病的管理；TIPSS 在儿童中的作用；或 TIPSS 的复杂技术和程序方面。
