Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 28, 2024; 30(12): 1777-1779
Published online Mar 28, 2024. doi: 10.3748/wjg.v30.i12.1777
Hepatic recompensation according to Baveno VII criteria via transjugular intrahepatic portosystemic shunt
Hossam Eldin Shaaban, Abeer Abdellatef, Hussein Hassan Okasha
Hossam Eldin Shaaban, Department of Internal Medicine and Gastroenterology, NHTMRI, Cairo 11796, Egypt
Abeer Abdellatef, Hussein Hassan Okasha, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Kasr Al-Aini School of Medicine, Cairo University, Cairo 11562, Egypt
Author contributions: Shaaban HE, Abdellatef A, and Okasha HH, shared equally in letter writing; Okasha HH revised the letter.
Conflict-of-interest statement: The authors have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hossam Eldin Shaaban, FACG, FASGE, MD, MSc, PhD, Doctor, Department of Internal Medicine and Gastroenterology, NHTMRI, No. 10 Kasr Alainy Street, Cairo 11796, Egypt. hsshaaban@aol.com
Received: October 29, 2023
Peer-review started: October 29, 2023
First decision: December 6, 2023
Revised: December 30, 2023
Accepted: February 20, 2024
Article in press: February 20, 2024
Published online: March 28, 2024
Abstract

Transjugular intrahepatic portosystemic shunt is a therapeutic modality done through interventional radiology. It is aimed to decrease portal pressure in special situations for patients with decompensated liver disease with portal hypertension. It represents a potential addition to the therapeutic modalities that could achieve hepatic recompensation in those patients based on Baveno VII criteria.

Keywords: Decompensated liver cirrhosis, Hepatic recompensation, Baveno VII, Portal hypertension

Core Tip: Liver cirrhosis is a complication of chronic liver disease. Hepatic decompensation follows a period of compensation if the etiology of the chronic liver disease is not eliminated and the liver inflammation is persistent. Hepatic recompensation is a novel term in which decompensation reverses after the clearance of the etiological factors in some patients. The use of a transjugular intrahepatic portosystemic shunt is a potential addition to achieve recompensation in a subset of patients with portal hypertension as demonstrated in published research.