Evidence map›Paper›PMID 41774393›Full record

GuidelineHepatology international2026

Australian best practice recommendations for transjugular intrahepatic portosystemic shunt (TIPS) in portal hypertension: a consensus statement.

Eric Kalo, Jacinta Holmes, Purnima Bhat, Winita Hardikar, Nishita Jagarlamudi, Wai See Ma, Cositha Santhakumar, Scott Read, Alicia Braund, Fei Wen Chen and 41 more

Abstract readConsensus StatementPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Hepatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

51 authors.

Eric KaloCollege of Medicine and Dentistry, James Cook University, Smithfield, QLD, Australia.
Jacinta HolmesDepartment of Gastroenterology and Hepatology, St Vincent's Hospital Melbourne, Fitzroy, NSW, Australia.
Purnima BhatDepartment of Gastroenterology and Hepatology, Canberra Hospital, Canberra, ACT, Australia.
Winita HardikarDepartment of Gastroenterology, Hepatology and Clinical Nutrition, Royal Children's Hospital, University of Melbourne, Parkville, VIC, Australia.
Nishita JagarlamudiBlacktown Mt Druitt Clinical School, Western Sydney University, Blacktown, NSW, Australia.
Wai See MaBlacktown Mt Druitt Clinical School, Western Sydney University, Blacktown, NSW, Australia.
Cositha SanthakumarBlacktown Mt Druitt Clinical School, Western Sydney University, Blacktown, NSW, Australia.
Scott ReadBlacktown Mt Druitt Clinical School, Western Sydney University, Blacktown, NSW, Australia.
Alicia BraundDepartment of Gastroenterology and Hepatology, Gold Coast University Hospital, Southport, QLD, Australia.
Fei Wen ChenDepartment of Gastroenterology and Hepatology, St George Hospital, Kogarah, NSW, Australia.
Rohit GuptaDepartment of Gastroenterology and Hepatology, Nambour General Hospital, Nambour, QLD, Australia.
Kate CollinsDepartment of Gastroenterology, Hepatology and Clinical Nutrition, Royal Children's Hospital, University of Melbourne, Parkville, VIC, Australia.
Anouk DevDepartment of Gastroenterology and Hepatology, Monash Medical Centre, Clayton, VIC, Australia.
John GrieveDepartment of Gastroenterology and Hepatology, Nambour General Hospital, Nambour, QLD, Australia.
Jim KoukounarasDepartment of Radiology-Interventional, Alfred Hospital, Melbourne, VIC, Australia.
Shivendra LallooDepartment of Gastroenterology and Hepatology, Canberra Hospital, Canberra, ACT, Australia.
Vi NguyenDepartment of Gastroenterology and Hepatology, Royal North Shore Hospital, St Leonards, NSW, Australia.
Tim MitchellDepartment of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, WA, Australia.
Nigel MottDepartment of Gastroenterology and Hepatology, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
Ashok RajDepartment of Gastroenterology and Hepatology, Royal Melbourne Hospital, Parkville, VIC, Australia.
Dinesh RanatungaDepartment of Gastroenterology and Hepatology, Monash Medical Centre, Clayton, VIC, Australia.
Caroline TallisSchool of Medicine, University of Queensland, Brisbane, QLD, Australia.
Edmund TseDepartment of Gastroenterology and Hepatology, Royal Adelaide Hospital, Adelaide, SA, Australia.
Zina ValaydonDepartment of Gastroenterology and Hepatology, Western Health, Melbourne, VIC, Australia.
Marcus RobertsonDepartment of Radiology-Interventional, Alfred Hospital, Melbourne, VIC, Australia.
Diederick De BooDepartment of Radiology-Interventional, Alfred Hospital, Melbourne, VIC, Australia.
Enoka GonsalkoralaDepartment of Gastroenterology and Hepatology, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
Rashid MuddassirDepartment of Gastroenterology and Hepatology, Gold Coast University Hospital, Southport, QLD, Australia.
Thao LamDepartment of Gastroenterology and Hepatology, St George Hospital, Kogarah, NSW, Australia.
Jonathan TibballsSchool of Medicine, University of Western Australia, Perth, WA, Australia.
Jonathan MitchellDepartment of Gastroenterology and Hepatology, Cairns Hospital, Cairns, QLD, Australia.
Penny FoxFaculty of Nursing and Midwifery, Sunshine Coast Hospital and Health Service, Birtinya, QLD, Australia.
Adam DoyleDepartment of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, WA, Australia.
Rozemary KaramaticDepartment of Gastroenterology and Hepatology, Townsville Hospital and Health Service, Douglas, QLD, Australia.
Gerry MacquillanDepartment of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, WA, Australia.
Christopher RoganDepartment of Gastroenterology and Hepatology, St George Hospital, Kogarah, NSW, Australia.
Jacob GeorgeDepartment of Gastroenterology and Hepatology, Westmead Hospital, Westmead, NSW, Australia.
Nick ShackelDepartment of Gastroenterology and Hepatology, Launceston General Hospital, Launceston, TAS, Australia.
Stuart RobertsDepartment of Radiology-Interventional, Alfred Hospital, Melbourne, VIC, Australia.
John OlynykDepartment of Gastroenterology, Fiona Stanley Hospital, Murdoch, WA, Australia.
Barbara LeggettDepartment of Gastroenterology and Hepatology, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
Siddharth SoodDepartment of Gastroenterology and Hepatology, The Northern Hospital, Northern Health, Epping, Melbourne, VIC, Australia.
Simone StrasserMorrow Gastroenterology and Liver Centre Royal Prince Alfred Hospital, and University of Sydney, Sydney, NSW, Australia.
Radha PopuriDepartment of Gastroenterology and Hepatology, St George Hospital, Kogarah, NSW, Australia.
John LubelDepartment of Radiology-Interventional, Alfred Hospital, Melbourne, VIC, Australia.
Miriam LevyDepartment of Gastroenterology and Hepatology, Liverpool Hospital, Liverpool, NSW, Australia.
Jane LiDepartment of Gastroenterology and Hepatology, Westmead Hospital, Westmead, NSW, Australia.
James O'BeirneDepartment of Gastroenterology and Hepatology, Liverpool Hospital, Liverpool, NSW, Australia.
Avik MajumdarDepartment of Gastroenterology and Hepatology, Sunshine Coast University Hospital, Birtinya, QLD, Australia.
Golo AhlenstielBlacktown Mt Druitt Clinical School, Western Sydney University, Blacktown, NSW, Australia. golo.ahlenstiel@health.nsw.gov.au.ORCID http://orcid.org/0000-0003-0026-1457
Gastroenterological Society of Australia (GESA)

Funding

Gastroenterological Society of Australia
6 · The paper itself

Abstract

backgroundTransjugular intrahepatic portosystemic shunt (TIPS) is one of the preferred interventional radiology techniques for reducing clinically significant portal pressures in patients with cirrhosis and complications from portal hypertension when pharmacological therapy or endoscopic interventions have failed or been insufficient. Recent advances in TIPS procedural techniques and stent technology, along with emerging indications for TIPS, warrant a review of current practices and establishment of consensus recommendations in Australia, where TIPS remains underused. This TIPS consensus statement is the first such guideline in Australia. It outlines 69 evidence-based practice recommendations and the evidence underlying them. The recommendations are intended for use by health care professionals in Australia who manage adult patients with portal hypertensive complications of liver disease, where such patients are being considered for TIPS implantation, including pre-, peri- and post-procedural aspects of care. METHODS AND

resultsThis consensus statement has been developed by specialists in hepatology and interventional radiology, with input from specialists in cardiology, hematology and primary care, including medical practitioners, nurses and clinical researchers. The statement deals with four domains related to TIPS: preparation for TIPS, patient selection and pre-TIPS workup; best procedural practice; postoperative care and follow-up; and indications for TIPS. Two rounds of a modified Delphi process were used to reach consensus on the recommendations.

conclusionsAdoption of and adherence to the evidence-based recommendations in this consensus statement should reduce clinical variation. Ultimately, this should lead to system-level improvements in quality of care and outcomes for patients undergoing TIPS implantation. These recommendations summarize the complete document, available at https://www.gesa.org.au/resources/ .

Indexed as

Hypertension, PortalPortasystemic Shunt, Transjugular IntrahepaticAustraliaHumansLiver CirrhosisPatient SelectionPractice Guidelines as TopicAustraliaCirrhosisConsensusPortal hypertensionTIPS

Identifiers

PMID41774393
PMCPMC13121398

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