April 10, 2025

Achtung Leberzirrhose: TIP(P)s in Grenzsituationen

25 minutes

Heiner Wedemeyer plaudert mit Cristina Ripoll

Heiner Wedemeyer plaudert mit Frau Prof. Cristina Ripoll aus Jena zur Indikationsstellung für TIPS-Anlagen in Grenzsituationen. Die Kurzbotschaft: Kein Nihilismus gegenüber dieser in vielen Situationen hocheffektiven Therapie von Patienten mit portaler Hypertension. Das betrifft auch Patienten und Patientinnen mit Pfortaderteilthrombose oder HRS.

Literatur:

Both the timing of the measurement and the adjustment of the portal pressure gradient (PPG) after TIPS implantation are important.

Zipprich A, Reuken P, Stallmach A, Ripoll C.J Hepatol. 2025 Feb 19:S0168-8278(25)00091-1.

Transjugular intrahepatic portosystemic shunt for the patients on the liver transplant list.

Ripoll C, Rauchfuss F, Aschenbach R, Settmacher U, Zipprich A.Liver Transpl. 2025 Jan 1;31(1):105-116.

Exploring the Relationship Between NOD2 Risk Variants and First Decompensation Events in Cirrhotic Patients With Varices.

Karbannek H, Reichert MC, Greinert R, Zipprich A, Lammert F, Ripoll C.Liver Int. 2025 Apr;45(4):e16143.

Influence of NOD2 risk variants on hepatic encephalopathy and association with inflammation, bacterial translocation and immune activation.

Ripoll C, Greinert R, Reuken P, Reichert MC, Weber SN, Hupfer Y, Staltner R, Meier Clinien M, Lammert F, Bruns T, Zipprich A.Liver Int. 2023 Aug;43(8):1793-1802.

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis.

European Association for the Study of the Liver.J Hepatol. 2022 May;76(5):1151-1184.

Early occurrence of hepatic encephalopathy following TIPS-insertion is linked to impaired survival: a multicenter cohort study.

Kabelitz MA, Sandmann L, Praktiknjo M, Mauz JB, Auer TA, Bruns T, Chang J, Fehrenbach U, Hinrichs J, Jansen C, Klöckner R, Kluwe J, Köhler M, Meyer C, Piecha F, Pollmanns MR, Ripoll C, Schultheiss M, Seifert LL, Stöhr F, Sturm L, Trebicka J, Zipprich A, Labenz C, Bettinger D, Maasoumy B; German Cirrhosis Study Group.

Freiburg index of post-TIPS survival (FIPS) identifies patients at risk of further decompensation and ACLF after TIPS.

Sturm L, Schultheiss M, Stöhr F, Labenz C, Maasoumy B, Tiede A, Praktiknjo M, Seifert LL, Auer TA, Fehrenbach U, Piecha F, Harberts A, Kluwe J, Bruns T, Pollmanns MR, Chang J, Grobelski J, Jansen C, Meyer C, Reincke M, Rohrer C, Philipp Arbabi SR, Kimmann M, Ripoll C, Zipprich A, Hinrichs J, Koehler M, Trebicka J, Kloeckner R, Engelmann C, Thimme R, Bettinger D; German Cirrhosis Study Group of the DGVS.

Leberzirrhose, TIPS, Portale Hypertension

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By DGVS