High Prevalence of Transjugular Intrahepatic Portosystemic Shunt Creation Without Prior Endoscopy During Acute Variceal Bleeding Hospitalization in the United States
Premal S. Trivedi, Alexandria M. Jensen, Matthew A. Brown, Rustain L. Morgan, Richard C. Lindrooth, Robert K. Ryu, P. Michael Ho, Michael S. Kriss – 30 June 2021 – Current clinical guidelines by both American Association for the Study of Liver Disease and European Association for the Study of the Liver recommend endoscopy in all patients admitted with acute variceal bleeding within 12 hours of admission. Transjugular intrahepatic portosystemic shunt (TIPS) creation may be considered in patients at high risk if hemorrhage cannot be controlled endoscopically.