Positionspapier für die standardisierte Anwendung von Transjugulärem Intrahepatischem Portosystemischem Shunt (TIPS) bei Erwachsenen

作者：Jonel Trebicka, Christian J. Steib, Alexander Zipprich, Cristina Ripoll, Johannes Kluwe, Michael Schultheiß, Andreas A. Schnitzbauer, B Meyer, Christian Jansen, Hauke Heinzow, Philipp Papprottka, Carsten Meyer, Max Seidensticker, Harald Ittrich, Frank Erhard Uschner, Wen Gu, Niklas Aehling, Ulf P. Neumann, Karel Caca, Michael Köhler, Leon Louis Seifert, Dominik Betinger, Tony Bruns, Matthias Dollinger, Michael Praktiknjo, Thomas Berg, Moritz Wildgruber, Michael B. Pitton, Holger Goessmann, Alexander L. Gerbes, Martin Rössle, Freigegeben durch: · 发表于：Zeitschrift für Gastroenterologie · 年份：2025 · DOI：10.1055/a-2675-4735 · 被引用次数：3 · 研究领域：Liver Disease and Transplantation、Viral gastroenteritis research and epidemiology、Organ Transplantation Techniques and Outcomes

Portal hypertension is associated with significant morbidity and mortality. Liver cirrhosis accounts for up to 90 % of portal hypertension cases, while approximately 10 % are due to non-cirrhotic factors, including vascular liver diseases.This condition can lead to various complications, such as the development of gastroesophageal varices, which greatly increase the risk of variceal bleeding. Other common complications of portal hypertension include ascites and hepatorenal syndrome (HRS).The transjugular intrahepatic portosystemic shunt (TIPS) procedure is regarded as the most effective treatment for managing portal hypertension. Research shows that TIPS insertion can improve survival rates for patients with recurrent ascites, as well as for select individuals with refractory ascites and variceal bleeding. However, peri-interventional and post-interventional complications may pose challenges to the use of TIPS. Recent advancements in devices, techniques, and prophylactic medications aim to minimize the risk of complications following this procedure.This interdisciplinary position paper summarizes recommendations and guidance regarding patient selection, indications and contraindications, techniques, and follow-up care for patients undergoing TIPS in Germany.