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Publication Name World Journal of Gastroenterology
Manuscript ID 116867
Country China
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Impact of rebleeding after transjugular intrahepatic portosystemic shunt on liver related death based on liver function categories
Manuscript Source Unsolicited Manuscript
All Author List Jun-Yuan Zhu, Jun Tie, Yi-Fu Xia, Guang-Chuan Wang, Yu-Zheng Zhuge, Hao Wu, Xiao-Li Zhu, Hui Xue, Jiao Xu, Feng Zhang, Lian-Hui Zhao, Guang-Jun Huang, Ming-Yan Zhang, Zhen Li, Bo Wei, Pei-Jie Li, Ze Wang, Wei Wu, Chao Chen, Cheng-Wei Tang and Chun-Qing Zhang
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China No. 81970533
National Key R&D Program of China No. 2023YFC2507505
Natural Science Foundation of Shandong Province, China No. ZR2022ZD21
Corresponding Author Chun-Qing Zhang, MD, PhD, Professor, Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwu Weiqi Road, Jinan 250021, Shandong Province, China. zhangchunqing_sdu@163.com
Key Words Liver cirrhosis; Portal hypertension; Variceal rebleeding; Mortality; Transjugular intrahepatic portosystemic shunt
Core Tip Transjugular intrahepatic portosystemic shunt (TIPS) is considered a treatment option to prevent variceal rebleeding. However, the impact of post-TIPS rebleeding on mortality has not yet been investigated. Therefore, this study aimed to evaluate whether post-TIPS rebleeding increases liver-related mortality based on liver function categories in patients with cirrhosis. Our results suggest that post-TIPS rebleeding independently correlated with liver-related mortality, and it was significantly associated with higher liver-related mortality in patients with cirrhosis with variceal bleeding, irrespective of liver function category. Therefore, clinical management following TIPS should include a rigorous follow-up strategy, regardless of baseline Child-Pugh classification.
Citation Zhu JY, Tie J, Xia YF, Wang GC, Zhuge YZ, Wu H, Zhu XL, Xue H, Xu J, Zhang F, Zhao LH, Huang GJ, Zhang MY, Li Z, Wei B, Li PJ, Wang Z, Wu W, Chen C, Tang CW, Zhang CQ. Impact of rebleeding after transjugular intrahepatic portosystemic shunt on liver related death based on liver function categories. World J Gastroenterol 2026; In press
Received
2025-11-25 12:58
Peer-Review Started
2025-11-25 12:58
First Decision by Editorial Office Director
2025-12-30 07:43
Return for Revision
2025-12-30 07:43
Revised
2026-01-07 11:12
Publication Fee Transferred
2026-01-08 03:50
Second Decision by Editor
2026-02-04 02:52
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-04 08:46
Articles in Press
2026-02-04 08:46
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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