Surgical Shunting Versus Trans-Jugular Intrahepatic Portosystemic Shunt for Recurrent Variceal Bleeding in Portal Hypertension Due to Liver Cirrhosis: An Evidence-Based Case Report

Magfira, Nadya
Nurrafiani, Arie Rozzaqi
Jasirwan, Chyntia Olivia Maurine
Suhartono, Raden

The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Vol 24, No 3 (2023): VOLUME 24, NUMBER 3, December, 2023

Aim: This evidence-based case report aims to determine whether the surgical shunt is better than the trans-jugular intrahepatic portosystemic shunt (TIPS) to prevent re-bleeding in patients with portal hypertension due to liver cirrhosis.  Method: Literature searching was performed in 4 online databases, Cochrane, PubMed, Embase, and SCOPUS. Three meta-analyses were appraised critically.Results: Of all meta-analyses included, the internal validities were poor and only included a small number of trials. However, the results show that surgical shunt is better for preventing variceal re-bleeding with varied heterogeneities.Conclusion: Surgical shunts may have benefits over TIPS in preventing variceal re-bleeding.