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Variceal embolization during TIPS placement does not reduce rebleeding

Journal
The Lancet Gastroenterology and Hepatology
Reuters Health -24/05/2022  -Variceal embolization during transjugular intrahepatic portosystemic shunt (TIPS) placement does not reduce patients' risk of recurrent variceal bleeding, new data show. Dr. Yong Lv et al from the Xijing Hospital of Infectious Diseases, Xi'an, China and colleagues randomly assigned 134 adults with liver cirrhosis and gastro-esophageal bleeding to undergo either TIPS plus embolization (n=69) or TIPS alone (n=65). There was no difference between the two groups in terms of location of varices; in both groups the incidence of type 2 gastroesophageal varices was low (17%). Tips or TIPs plus embolization was performed successfully in all cases. The 2-year actuarial probability of variceal rebleeding was similar between the two groups (TIPS plus embolization, 11.6%, 95% CI 4.0-19.1, vs TIPS alone, 13.8%, 95% CI 5.4-22.2; hazard ratio 0.82, 95% CI 0.42-1.61; p=0·566). Patients ages 18 to 75 were eligible for the study if they had variceal...


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