Evidence map›Paper›PMID 38966121›Full record

ArticleCrohn's & colitis 3602024

Successful Preoperative Transjugular Intrahepatic Portosystemic Shunt for Portal Decompression in Patients With Inflammatory Bowel Disease and Cirrhosis Requiring Surgical Intervention.

Christian Karime, Asrita Vattikonda, Jana G Hashash, Barry G Rosser, Amit Merchea, Luca Stocchi, Francis A Farraye

Abstract read
In one paragraph

Article in Crohn's & colitis 360, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christian KarimeDepartment of Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID https://orcid.org/0000-0003-0383-613X
Asrita VattikondaDepartment of Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
Jana G HashashInflammatory Bowel Disease Centre, Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.
Barry G RosserDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.
Amit MercheaDepartment of Colorectal Surgery, Mayo Clinic, Jacksonville, FL, USA.
Luca StocchiDepartment of Colorectal Surgery, Mayo Clinic, Jacksonville, FL, USA.
Francis A FarrayeInflammatory Bowel Disease Centre, Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colorectal surgery in patients with inflammatory bowel disease (IBD) and cirrhosis has increased morbidity, which may preclude surgery. Preoperative transjugular intrahepatic portosystemic shunt (TIPS) is postulated to reduce surgical risk. In this retrospective single-center study, we characterized perioperative outcomes in patients with IBD and cirrhosis who underwent preoperative TIPS. Methods: We identified patients with IBD and cirrhosis who had undergone preoperative TIPS for portal decompression between 2010 and 2023. All other indications for TIPS led to patient exclusion. Demographic and medical data were collected, including portal pressure measurements. Primary outcome of interest was perioperative outcomes. Results: Ten patients met the inclusion criteria. The most common surgical indications were dysplasia (50%) and refractory IBD (50%). TIPS was performed at a median of 47 days (IQR 34-80) before surgery, with reduction in portal pressures (22.5 vs. 18.5 mmHg, Conclusions: In patients with IBD and cirrhosis, preoperative TIPS facilitated successful surgical intervention despite heightened risk. Nevertheless, significant complications were noted, in particular for patients with PSC-cirrhosis.

Indexed as

cirrhosiscolorectal surgeryinflammatory bowel diseaseoperative outcomestransjugular intrahepatic portosystemic shunt

Identifiers

PMID38966121
PMCPMC11221072

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.