title: Nutritional effects of transjugular intrahepatic portosystemic shunt--an often neglected benefit? "A preliminary report".
abstract: Transjugular intrahepatic portosystemic shunt (TIPS) is a useful procedure for preventing complications of portal hypertension. Nutritional effects of TIPS have been described in cirrhotics. In this prospective study, the nutritional effects of TIPS in cirrhotics were aimed to be identified. BMI, anthropometric measurements, laboratory parameters and Chronic liverdisease quality of life score were measured at baseline, three and six moths following TIPS placement. Total of 12 patients (6 male, 6 female; mean age 56 years; range 41-80) were enrolled between March 2002 and June 2004. Mean baseline MELD score was 13. Only 6 out of 12 patients were able to complete the study due to several reasons. BMI increased from 21.4 to 25.5. Estimated muscle mass improved from 16.6 to 20.5 (p < 0.05). Mean serum albumin improved from 2.46 to 2.76. CLDQL score improved from 103 to 150 (p < 0.05). This small study suggests potential nutritional benefits of TIPS.
authors.forename: Cemalettin
authors.initials: C
authors.lastname: Camci
authors.forename: Ahmet
authors.initials: A
authors.lastname: Gurakar
authors.forename: Marilyn
authors.initials: M
authors.lastname: Kanoski
authors.forename: Sharad
authors.initials: S
authors.lastname: Sharma
authors.forename: Rajesh
authors.initials: R
authors.lastname: Kanagala
authors.forename: Roy
authors.initials: R
authors.lastname: Monlux
authors.forename: Harlan
authors.initials: H
authors.lastname: Wright
authors.forename: Nicolas
authors.initials: N
authors.lastname: Jabbour
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011446:Prospective Studies