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[Survival of patients after TIPS in the University Hospital Hradec Kralove]. / Prezívání nemocných po TIPS ve Fakultní nemocnici Hradec Králové.
Sembera, S; Jirkovský, V; Fejfar, T; Safka, V; Renc, O; Raupach, J; Chovanec, V; Lojík, M; Krajina, A; Hulek, P.
Afiliación
  • Sembera S; Lékarská fakulta UK Hradec Králové. sembera.stepan@gmail.com
Vnitr Lek ; 57(12): 1038-44, 2011 Dec.
Article en Cs | MEDLINE | ID: mdl-22277039
AIM: To analyze survival of patients after TIPS (transjugular intrahepatic portosystemic shunt). PATIENT SAMPLE AND METHODOLOGY: Between September 1992 and August 2010, TIPS was created in 848 patients of the University Hospital Hradec Kralove. These patients were divided into groups. Survival was analyzed using Kaplan-Meier survival curves. Differences between groups were evaluated using log-rank test. RESULTS: Ten percent of patients do not survive one month after TIPS, 40% of patients survive 5 years and 20% of patients survive 10 years. There were statistically significant differences between groups divided according to Child-Pugh classification (A vs B p = 0.0053; B vs. C p < 0.0001), indication for surgery [prevention of bleeding recurrence differed from refractory ascites (p = 0.0001) and the indication to stop acute bleeding (p = 0.026)]; aetiology of the liver disease [patients with alcoholic cirrhosis differed from patients with Budd-Chiari syndrome (p < 0.0001) and from patients with chronic viral hepatitis (p = 0.024)]. CONCLUSION: Survival of patients after TIPS is influenced by Child-Pugh score, indication and aetiology of the liver disease.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Derivación Portosistémica Intrahepática Transyugular Límite: Female / Humans / Male / Middle aged Idioma: Cs Revista: Vnitr Lek Año: 2011 Tipo del documento: Article Pais de publicación: República Checa
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Derivación Portosistémica Intrahepática Transyugular Límite: Female / Humans / Male / Middle aged Idioma: Cs Revista: Vnitr Lek Año: 2011 Tipo del documento: Article Pais de publicación: República Checa