Pre-emptive TIPS for acute variceal bleeding in acute-on-chronic liver failure: Is there enough evidence for a routine recommendation?

We read with great interest the article by Trebicka and colleagues1 in which they report a higher rebleeding rate and poor outcomes of acute variceal bleeding (AVB) in patients with acute-on-chronic liver failure (ACLF); they report that pre-emptive transjugular intrahepatic portosystemic shunt (pTIPS) improves outcomes in such patients. In their earlier analysis using the same database, the same group suggested pTIPS to be the treatment of choice in high-risk patients with Child-Pugh class C cirrhosis and AVB.
Source: Journal of Hepatology - Category: Gastroenterology Authors: Tags: Letter to the Editor Source Type: research