Review Article

The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present

Table 3

Comparison PCS—TIPS.

PCS Caritas Hospital—experimental studyTIPS

PRE—shunt PP25.1 mmHg>12 mmHg
Remaining PP13.5 mmHg<12 mmHg
Pressure drop11.6 mmHg?
Postshunt EP43.2%-APC
0%-ARS
20–30%[1318]
Recurrent GIB1%27%
Postoperatively.
Mortality (45 days)
18.2%
10%-ASR
23–29%
1-year mortality1%17–20%
Ineffective shunt0%3–7%
5 years survival31.4%60%

PCS—portocaval shunt; TIPS—transjugular intrahepatic portosystemic shunt; PSE—portal-systemic encephalopathy; PP—portal pressure; GIB—gastrointestinal bleeding; SRA- splenorenal anastomosis; TPCA—troncular portocaval anastomosis (direct).