Meta-Analysis
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World J Gastrointest Pharmacol Ther. May 6, 2014; 5(2): 97-104
Published online May 6, 2014. doi: 10.4292/wjgpt.v5.i2.97
EVS vs TIPS shunt for gastric variceal bleeding in patients with cirrhosis: A meta-analysis
Ming Bai, Xing-Shun Qi, Zhi-Ping Yang, Kai-Chun Wu, Dai-Ming Fan, Guo-Hong Han
Ming Bai, Xing-Shun Qi, Zhi-Ping Yang, Dai-Ming Fan, Guo-Hong Han, Department of Digestive Interventional Radiology, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Ming Bai, Xing-Shun Qi, Zhi-Ping Yang, Kai-Chun Wu, Dai-Ming Fan, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Author contributions: Bai M and Qi XS contributed equally to this work; Bai M, Qi XS, Wu KC, Fan DM and Han GH designed the research; Bai M, Qi XS and Yang ZP performed the research and analyzed the data; Bai M, Qi XS and Han GH wrote the paper.
Correspondence to: Guo-Hong Han, MD, Professor, Department of Digestive Interventional Radiology, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, No.127 Changlexi Road, Xi’an 710032, Shaanxi Province, China. hangh2009@gmail.com
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Received: November 11, 2013
Revised: January 22, 2014
Accepted: March 13, 2014
Published online: May 6, 2014
Processing time: 189 Days and 16.2 Hours
Core Tip

Core tip: This meta-analysis provides evidence-based guidance regarding the effect of transjugular intrahepatic portosystemic shunt and endoscopic variceal sclerotherapy on rebleeding, hepatic encephalopathy, and survival. The results suggest that transjugular intrahepatic portosystemic shunt is more effective than endoscopic variceal sclerotherapy in the prevention of gastric variceal rebleeding, but is associated with an increased risk of hepatic encephalopathy.