Operating under pressure: Is there a place for preoperative TIPS?

Cirrhosis as a comorbidity is responsible for almost half of cirrhosis-related hospitalisations, while the burden of liver disease has been steadily increasing, particularly in the Western world, largely due to metabolic dysfunction-associated steatotic liver disease (MASLD) and alcohol-related liver disease. With improved long-term survival for patients with cirrhosis, surgery is becoming more common in this vulnerable patient population.
Portal hypertension (PHT) is the major driver of acute decompensation (AD), acute-on-chronic liver failure (ACLF) and mortality for patients with cirrhosis, especially in the context of surgery.

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Praktiknjo, M., Trebicka, J. Operating under pressure: Is there a place for preoperative TIPS? JHEP Rep. 2024 Feb 9;6(4):101034. doi: 10.1016/j.jhepr.2024.101034. PMID: 38425449; PMCID: PMC10899019.