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

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....

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Bibliographic Details
Published in:	Gut Vol. 69; no. 7; p. 1173
Main Authors:	Tripathi, Dhiraj, Stanley, Adrian J, Hayes, Peter C, Travis, Simon, Armstrong, Matthew J, Tsochatzis, Emmanuel A, Rowe, Ian A, Roslund, Nicholas, Ireland, Hamish, Lomax, Mandy, Leithead, Joanne A, Mehrzad, Homoyon, Aspinall, Richard J, McDonagh, Joanne, Patch, David
Format:	Journal Article
Language:	English
Published:	England 01-07-2020
Subjects:	Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - methods Blood Vessel Prosthesis Implantation - standards Esophageal and Gastric Varices - etiology Esophageal and Gastric Varices - surgery Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - surgery Humans Hypertension, Portal - surgery Portasystemic Shunt, Transjugular Intrahepatic - instrumentation Portasystemic Shunt, Transjugular Intrahepatic - methods Portasystemic Shunt, Transjugular Intrahepatic - standards Radiology, Interventional Stents interventional radiology portal hypertension ascites oesophageal varices
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Summary:	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.
ISSN:	1468-3288
DOI:	10.1136/gutjnl-2019-320221