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Currently, there is limited evidence regarding the survival benefit of early transjugular intrahepatic portal shunt (TIPS) placement in patients with cirrhosis and recurrent ascites. This observational study aimed to assess whether early TIPS improves the survival of patients with advanced cirrhosis and recurrent ascites. We will compare large volume paracenteses plus albumin (LVP+A) to see if TIPS improves the survival of patients with advanced cirrhosis and recurrent ascites.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TIPS | transjugular intrahepatic portal shunt |
| |
| LVP+A | large volume paracenteses plus albumin |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| transjugular intrahepatic portal shunt | Procedure | TIPS was performed by experienced clinicians in the Gastroenterology/Hepatology Department according to standard operating procedures, utilizing 8 mm or 10 mm expanded polytetrafluoroethylene-covered stents at the discretion of the local physician. |
| Measure | Description | Time Frame |
|---|---|---|
| One year transplant free survival | One year |
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Inclusion Criteria:
Definite diagnosis of recurrent ascites in cirrhosis (based on clinical symptoms, laboratory and imaging studies, or liver biopsy) TIPS or LVP+A therapy, -
Exclusion Criteria:
Malignant neoplasm, including hepatocellular carcinoma with extrahepatic metastasis Prior liver transplantation Severe heart and lung dysfunction Recurrent hepatic encephalopathy Concomitant active infection TIPS with the use of uncovered stents Complete portal vein thrombosis
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This retrospective study included patients with cirrhosis and recurrent ascites who were treated with TIPS or large volume paracenteses plus albumin at 11 tertiary level A hospitals in China
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tangdu hospital | Xi'an | Shaanxi | 710000 | China | ||
| Xi'an International Medical Center Hospital |
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| ID | Term |
|---|---|
| D001201 | Ascites |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| Xi'an |
| Shaanxi |
| 710000 |
| China |
| Xijing hospital | Xi'an | Shaanxi | 710000 | China |