Table 1. Preoperative TIPS for extrahepatic abdominal surgery in portal hypertensive patients.
Study | Abdominal surgery type | No. of patients | Child–Pugh score | Time from TIPS to surgery | HVPG (mm Hg) | Procedure-related complications and negative outcomes | Deaths from operative mortality |
---|---|---|---|---|---|---|---|
Azoulay et al (2001) | Tumor resection, AAA repair, Hartman's reversal | 7 | Child A–C | 1–5 mo | 18 ± 5 to 9 ± 5 mm Hg | 1 persistent post-op ascites; 1 liver failure | 1 |
Gil et al (2004) | Tumor resection | 3 | Child A–B | 14–45 d | 20–28 to 6–7 mm Hg | 1 post-op transfusion; 1 cardiac insufficiency; 1 encephalopathy | 0 |
Grübel et al (2002) | Colectomy, nephrectomy | 2 | Child C | 3–8 wk | 17–26 to 8–14 mm Hg | None | 0 |
Schlenker et al (2009) | Abdominal and pelvic resections | 7 | Child A–B | 1–32 d | 9–22 to 3–10 mm Hg | 1 new ascites; 2 encephalopathy; 1 liver failure | 1 |
Kim et al (2009) | AVR, colectomy, herniorrhaphy | 6 | Child A–C; Mean MELD 15 | 6–46 d | Unknown | 1 renal failure; 3 encephalopathy | 0 |
Menahem et al (2015) | Colorectal resection | 8 | Child A–C | 1–9 wk | 15.5 ± 2.9 to 7.5 ± 1.9 mm Hg | 1 bacterial peritonitis; 1 encephalopathy; 3 ascites; 1 hemorrhage; 3 liver failure | 2 |
Abbreviations: AAA, abdominal aortic aneurysm; AVR, aortic valve replacement.