Predicting overt hepatic encephalopathy after TIPS: Value of three minimal hepatic encephalopathy tests.

ABSTRACT:

Background & aims

Hepatic encephalopathy (HE) is a frequent and severe complication in patients after transjugular intrahepatic portosystemic shunt (TIPS) insertion. However, risk factors for post-TIPS HE remain poorly defined. Minimal HE (mHE) is a well-known risk factor for overt HE in patients with cirrhosis without TIPS. We aimed to evaluate three tools frequently used for diagnosing mHE for their dynamic changes and their predictive value for overt HE after TIPS.

Methods

We prospectively recruited 84 consecutive patients before TIPS insertion and monitored them for 180 days for post-TIPS HE. Before TIPS insertion, the patients underwent the portosystemic encephalopathy (PSE) syndrome test, the animal naming test (ANT), and the critical flicker frequency (CFF). Patients

SUBMITTER: Ehrenbauer AF 

PROVIDER: S-EPMC10432804 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature