Evidence map›Paper›PMID 39739182›Full record

ArticleObesity surgery2025

Transjugular Intrahepatic Portosystemic Shunt (TIPS): A Bridge to Bariatric Surgery in Morbidly Obese Patients with Cirrhosis and Clinically Significant Portal Hypertension.

Raluca Pais, Yasmina Chouik, Lucile Moga, Louise Lebedel, Christine Silvain, Laurent Genser, Delphine Weill, Hélène Larrue, Emilie Malézieux, Caroline Jezéquel and 6 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2025. 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. Management of obesity in advanced chronic liver disease.JHEP reports : innovation in hepatology · 2026
    Review
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

16 authors.

Raluca PaisSorbonne Université, Pitié- Salpêtrière Hospital, Assistance Publique Hôpitaux de Paris, Paris, France. raluca.pais@aphp.fr.
Yasmina ChouikHospices civils de Lyon, Hôpital de la Croix Rousse, Lyon, France.
Lucile MogaAP-HP, Hôpital Beaujon, FILFOIE, ERN RARE-LIVER, Clichy, France.
Louise LebedelCHU de Caen, Caen, France.
Christine SilvainCentre Hospitalier Universitaire Poitiers et Université de Poitiers, Hépato-Gastroentérologie, Poitiers, France.
Laurent GenserAssistance Publique-Hôpitaux de Paris, Sorbonne Université, Hôpital de la Pitié-Salpêtrière, INSERM UMRS 1269, Paris, France.
Delphine WeillUniversité de Franche-Comté, EFS, INSERM, UMR RIGHT, CHU de Besançon, Besançon, France.
Hélène LarrueCHU de Toulouse, Toulouse, France.
Emilie MalézieuxCHU de Montpellier, Montpellier, France.
Caroline JezéquelCHU Rennes, Rennes, France.
Maud RobertHospices Civils de Lyon, Hôpital Edouard Herriot, INSERM Unit, Lyon, France.
Hélène RegnaultAP-HP, Hôpital Henri Mondor, Service d'Hépatologie, Créteil, France.
Jérôme DumortierHospices civils de Lyon, Hôpital Edouard Herriot, Lyon, France.
Vlad RatziuSorbonne Université, Pitié- Salpêtrière Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Dominique ThabutSorbonne Université, Pitié- Salpêtrière Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Marika RudlerSorbonne Université, Pitié- Salpêtrière Hospital, Assistance Publique Hôpitaux de Paris, Paris, France. marika.rudler@aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn cirrhotic patients, portal hypertension increases mortality after surgery. We evaluated the impact of pre-operative transjugular intrahepatic portosystemic shunt (TIPS) on the outcomes of bariatric surgery in cirrhosis.

methodsMulticentric retrospective cohort. The decision for TIPS placement has been made according to hepatic venous pressure gradient (HVPG) values and centers' policy. The primary outcome: 1-year decompensation-free survival; secondary outcomes: 1-year acute-on-chronic liver failure (ACLF) and survival.

resultsFifty-three patients were included (2010-2022): 92% Child-Pugh A, MELD score 8, age 55 years, BMI 38.3 ± 13 kg/m

conclusionsIn patients with cirrhosis and clinically significant portal hypertension (CSPH) undergoing bariatric surgery, TIPS placement was safe and had similar outcomes after surgery as patients without TIPS.

Indexed as

Bariatric SurgeryHypertension, PortalLiver CirrhosisObesity, MorbidPortasystemic Shunt, Transjugular IntrahepaticAdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeBariatric surgeryCirrhosisPortal hypertensionSteatosisTransjugular intrahepatic portosystemic shunt

Identifiers

PMID39739182

What OpenQuestion holds

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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.