Letter: improve survival! Place early pre-emptive TIPSS in high-risk variceal bleeders.

Abstract:

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References: Dunne PDJ, Sinha R, Stanley AJ, et al. Randomised clinical trial: standard of care versus early-transjugular intrahepatic porto-systemic shunt (TIPSS) in patients with cirrhosis and oesophageal variceal bleeding. Aliment Pharmacol Ther. 2020;52:98-106.
García-Pagán JC, Caca K, Bureau C, et al. Early use of TIPS in patients with cirrhosis and variceal bleeding. N Engl J Med. 2010;362:2370-2379.
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Lv Y, Zuo L, Zhu X, et al. Identifying optimal candidates for early TIPS among patients with cirrhosis and acute variceal bleeding: a multicentre observational study. Gut. 2019;68:1297-1310.

Authors

• Juan G Abraldes |
• Agustín Albillos |
• Jaume Bosch |
• Christophe Bureau |
• Juan Carlos García-Pagán |
• Álvaro Giráldez |
• Henning Grønbaek |
• Virginia Hernández-Gea |
• Jonel Trebicka |
• Alexander Zipprich |