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10.4103/0366-6999.152676 http://scihub22266oqcxt.onion/10.4103/0366-6999.152676 C4833991!4833991 !25758281     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25758281 &cmd=llinks): Failed to open stream: HTTP request failed! 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Transjugular intrahepatic portosystemic shunt versus surgical shunting in the management of portal hypertension |pdf=|usr=}}{{25758281 }} gab.com Text Transjugular intrahepatic portosystemic shunt versus surgical shunting in the management of portal hypertension JO: Chin Med J (Engl) http://www.kidney.de/pget.php?&tw=1&pmid=25758281 #FOAvip BACKGROUND: The purpose of this article was to clarify the optimal management concerning transjugular intrahepatic portosystemic shunts (TIPSs) and surgical shunting in treating portal hypertension. METHODS: All databases, including CBM, CNKI, WFPD, Medline, EMBASE, PubMed and Cochrane up to February 2014, were searched for randomized controlled trials (RCTs) comparing TIPS with surgical shunting. Four RCTs, which were extracted by two independent investigators and were evaluated in postoperative complications, mortality, 2- and 5-year survival, hospital stay, operating time and hospitalization charges. RESULTS: The morbidity in variceal rehemorrhage was significantly higher in TIPS than in surgical shunts (odds ratio [OR] = 7.45, 95% confidence interval[CI]: (3.93-14.15), P < 0.00001), the same outcomes were seen in shunt stenosis (OR = 20.01, 95% CI: (6.67-59.99), P < 0.000001) and in hepatic encephalopathy (OR = 2.50, 95% CI: (1.63-3.84), P < 0.0001). Significantly better 2-year survival (OR = 0.66; 95% CI: (0.44-0.98), P = 0.04) and 5-year survival (OR = 0.44; 95% CI: (0.30-0.66), P < 0.00001) were seen in patients undergoing surgical shunting compared with TIPS. CONCLUSIONS: Compared with TIPS, postoperative complications and survival after surgical shunting were superior for patients with portal hypertension. Application of surgical shunting was recommended for patients rather than TIPS. Twit Text FOAVip Transjugular intrahepatic portosystemic shunt versus surgical shunting in the management of portal hypertension ????Chin Med J (Engl) http://www.kidney.de/pget.php?&tw=1&pmid=25758281 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25758281 #FOAvip English Wikipedia <ref>{{Cite pmid|25758281 }}</ref> Transjugular intrahepatic portosystemic shunt versus surgical shunting in the management of portal hypertension #MMPMID25758281 Huang L ; Yu QS ; Zhang Q ; Liu JD ; Wang Z Chin Med J (Engl) 2015[Mar]; 128 (6 ): 826-34 PMID25758281 show ga BACKGROUND: The purpose of this article was to clarify the optimal management concerning transjugular intrahepatic portosystemic shunts (TIPSs) and surgical shunting in treating portal hypertension. METHODS: All databases, including CBM, CNKI, WFPD, Medline, EMBASE, PubMed and Cochrane up to February 2014, were searched for randomized controlled trials (RCTs) comparing TIPS with surgical shunting. Four RCTs, which were extracted by two independent investigators and were evaluated in postoperative complications, mortality, 2- and 5-year survival, hospital stay, operating time and hospitalization charges. RESULTS: The morbidity in variceal rehemorrhage was significantly higher in TIPS than in surgical shunts (odds ratio [OR] = 7.45, 95% confidence interval[CI]: (3.93-14.15), P < 0.00001), the same outcomes were seen in shunt stenosis (OR = 20.01, 95% CI: (6.67-59.99), P < 0.000001) and in hepatic encephalopathy (OR = 2.50, 95% CI: (1.63-3.84), P < 0.0001). Significantly better 2-year survival (OR = 0.66; 95% CI: (0.44-0.98), P = 0.04) and 5-year survival (OR = 0.44; 95% CI: (0.30-0.66), P < 0.00001) were seen in patients undergoing surgical shunting compared with TIPS. CONCLUSIONS: Compared with TIPS, postoperative complications and survival after surgical shunting were superior for patients with portal hypertension. Application of surgical shunting was recommended for patients rather than TIPS. |Gastrointestinal Hemorrhage [MESH] |Humans [MESH] |Hypertension, Portal/*surgery [MESH] |Portasystemic Shunt, Surgical/adverse effects [MESH]Transjugular intrahepatic portosystemic shunt versus surgical shunting(epmc).pdf DeepDyve Pubget Overpricing