Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 28, 2024; 30(16): 2285-2286
Published online Apr 28, 2024. doi: 10.3748/wjg.v30.i16.2285
Transjugular intrahepatic portosystemic shunt: A promising therapy for recompensation in cirrhotic patients
Ya-Ni Jin, Wei Zhang
Ya-Ni Jin, Wei Zhang, Department of Gastroenterology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210000, Jiangsu Province, China
Author contributions: Jin YN wrote the letter; Zhang W revised the letter.
Conflict-of-interest statement: All the authors declare that they have no competing interests.
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: Wei Zhang, MD, PhD, Department of Gastroenterology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, No. 321 Zhongshan Road, Nanjing 210000, Jiangsu Province, China. kimmysai@126.com
Received: January 16, 2024
Peer-review started: January 16, 2024
First decision: February 26, 2024
Revised: March 7, 2024
Accepted: April 2, 2024
Article in press: April 2, 2024
Published online: April 28, 2024
Processing time: 101 Days and 2 Hours
Abstract

This is a retrospective study focused on recompensation after transjugular intrahepatic portosystemic shunt (TIPS) procedure. The authors confirmed TIPS could be a treatment for recompensation of patients with cirrhosis according to Baveno VII. The paper identified age and post-TIPS portal pressure gradient as independent predictors of recompensation in patients with decompensated cirrhosis after TIPS. These results need to be validated in a larger prospective cohort.

Keywords: Cirrhosis recompensation; Transjugular intrahepatic portosystemic shunt; Portal pressure gradient; Predictor factor; Baveno VII

Core Tip: Approximately one-third of the patients experienced cirrhosis recompensation following transjugular intrahepatic portosystemic shunt (TIPS) and post-TIPS portal pressure gradient reduction below 12 mmHg contributes to the occurrence of recompensation. The selection of a smaller diameter (6 mm) stent may be an effective measure to reduce portal vein pressure while decreasing the incidence of postoperative hepatic encephalopathy.