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- Portal hypertension
- biliary obstruction
- Budd–Chiari syndrome
- liver cirrhosis
- pancreatic cancer
- Helicobacter pylori
- acid-related diseases, non-ulcer dyspepsia
- genetic polymorphisms
- gastric neoplasia
We read with interest the recent study by Luca et al demonstrating excellent short- and long-term outcomes of transjugular intrahepatic portosystemic shunt (TIPS) for the management of portal vein thrombosis (PVT) in patients with liver cirrhosis.1 More notably, the TIPS success rate can reach 100%. Additionally, the independent predictors for complete portal vein recanalisation have been proposed, including thrombosis of a single vein at inclusion, PVT severity of grade I (<25% of lumen occupancy), de novo diagnosis of PVT and absence of gastro-oesophageal varices. In spite of these important findings, several points of this study are worthy of further discussion.
First, even though this study was the largest case series consisting of 70 PVT-TIPS …
Footnotes
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.