Meta Analysis
Transjugular Intrahepatic Portosystemic Shunt Versus Surgical Shunting in the Management of Portal Hypertension Long Huang, Qing‑Sheng Yu, Qi Zhang, Ju‑Da Liu, Zhen Wang Department of No. 1 Surgery, Anhui Chinese Medical Research Institute of Surgery, The First Hospital Affiliated to Anhui Chinese Medical University, Hefei, Anhui 230031, China
Abstract Background: The purpose of this article was to clarify the optimal management concerning transjugular intrahepatic portosystemic shunts (TIPSs) and surgical shunting in treating portal hypertension. Methods: All databases, including CBM, CNKI, WFPD, Medline, EMBASE, PubMed and Cochrane up to February 2014, were searched for randomized controlled trials (RCTs) comparing TIPS with surgical shunting. Four RCTs, which were extracted by two independent investigators and were evaluated in postoperative complications, mortality, 2‑ and 5‑year survival, hospital stay, operating time and hospitalization charges. Results: The morbidity in variceal rehemorrhage was significantly higher in TIPS than in surgical shunts (odds ratio [OR] = 7.45, 95% confidence interval [CI]: (3.93–14.15), P
Transjugular Intrahepatic Portosystemic Shunt Versus Surgical Shunting in the Management of Portal Hypertension Long Huang, Qing‑Sheng Yu, Qi Zhang, Ju‑Da Liu, Zhen Wang Department of No. 1 Surgery, Anhui Chinese Medical Research Institute of Surgery, The First Hospital Affiliated to Anhui Chinese Medical University, Hefei, Anhui 230031, China
Abstract Background: The purpose of this article was to clarify the optimal management concerning transjugular intrahepatic portosystemic shunts (TIPSs) and surgical shunting in treating portal hypertension. Methods: All databases, including CBM, CNKI, WFPD, Medline, EMBASE, PubMed and Cochrane up to February 2014, were searched for randomized controlled trials (RCTs) comparing TIPS with surgical shunting. Four RCTs, which were extracted by two independent investigators and were evaluated in postoperative complications, mortality, 2‑ and 5‑year survival, hospital stay, operating time and hospitalization charges. Results: The morbidity in variceal rehemorrhage was significantly higher in TIPS than in surgical shunts (odds ratio [OR] = 7.45, 95% confidence interval [CI]: (3.93–14.15), P
