Abstract
The main options for secondary prevention of gastrooesophageal variceal bleeding are endoscopic therapy and treatment with propranolol. Creation of a transjugular intrahepatic portosystemic shunt (TIPS) is currently considered a valuable secondary 'rescue' treatment when other therapies fail. Recent data suggest that the use of covered stents markedly increases the efficacy of TIPS, compared with conventional uncovered stents. Therefore, a multicentre randomised trial was designed to compare the effects of TIPS using covered stents with those of endoscopic therapy plus propranolol in patients with a first or second episode of gastro-oesophageal variceal bleeding. TIPS will be performed in 4 university centres with relevant expertise. The trial will hopefully gain nationwide support, and all centres in the Netherlands are cordially invited to participate.
Translated title of the contribution | Dutch study on the optimal treatment strategy for patients with a first or second occurrence of gastro-oesophageal variceal bleeding: The TIPS-TRUE trial |
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Original language | Dutch (Belgium) |
Pages (from-to) | 643-645 |
Number of pages | 3 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 152 |
Issue number | 11 |
Publication status | Published - Mar 15 2008 |
Externally published | Yes |
ASJC Scopus Subject Areas
- General Medicine