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| 1 | Comparative study of endoscopy vs.transjugular intrahepatic portosystemic shunt in the management of gastric variceal bleeding显示文摘Background and Aim:Gastric varices are associated with high mortality.There have been conflicting reports on whether endoscopic treatment with cyanoacrylate or the placement of a transjugular intrahepatic portosystemic shunt(TIPS)is more effective in the treatment of gastric varices.We compared the outcomes of patients treated with cyanoacrylate glue or TIPS for the management of acute gastric variceal bleeding.Methods:The study was designed as a retrospective cohort analysis of patients undergoing either TIPS or endoscopic treatment with cyanoacrylate for acute gastric variceal bleeding at our institution from 2001 to 2011.Primary compared to studied between the two treatment modalities were the short-term treatment outcomes,including re-bleeding within 30 days,length of hospital stay and in-hospital mortality.Kaplan-Meier survival analysis was performed to assess factors associated with in-hospital mortality.Results:A total of 169 patients were included in the analysis.The TIPS arm contained 140 patients and the cyanoacrylate arm contained 29 patients.There was no evidence to suggest any significant differences in demographics or disease severity.There were no differences between the TIPS arm and the cyanoacrylate armtwo groups in treatment outcomes including re-bleeding within 30 days(17.4%vs.17.2%;P=0.98),median length of stay in the hospital(4.5 days vs.6.0 days;P紏0.35)or in-hospital mortality(9.0%vs.11.1%;P=0.74).In-hospital mortality was evaluated for 149 patients and lower albumin(P=0.015),higher MELD score(P<0.001),higher CTP score(P=0.005)and bleeding(P=0.008)were all significantly associated with in-hospital death.Conclusion:These findings suggest that both treatments are equally effective.Cyanoacrylate offers a safe,effective alternative to TIPS for gastric varices,and physician may choose the best therapy for each patient,factoring in the availability of TIPS or cyanoacrylate,the individual patient’s presentation,and cost. | Gursimran Singh Kochhar Udayakumar Navaneethan Jason Hartman Jose Mari Parungao Rocio Lopez Ranjan Gupta Baljendra Kapoor Paresh Mehta Madhu Sanaka | 2015 | Gastroenterology Report2015，3，1： | 2 |
| 2 | Injection of Subphrenic Saline During Radiofrequency Ablation to Minimize Diaphragmatic Injury显示文摘 | Baljendra S. Kapoor David W. Hunter | 2003 | CardioVascular and Interventional Radiology2003，，3： | 1 |
| 3 | Diagnosis and Management of Pseudoaneurysms: An Update显示文摘 | Baljendra S. Kapoor Heather L. Haddad Souheil Saddekni Mark E. Lockhart | 2009 | Current Problems in Diagnostic Radiology2009，，4： | 1 |
| 4 | Nonvascular and Portal Vein Applications of Cone Beam Computed Tomography: Current Status显示文摘 | Baljendra S. Kapoor Anthony Esparaz Gordon McLennan Abraham Levitin Mark Sands | 2013 | Techniques in Vascular and Interventional Radiology2013，，： | 1 |
| 5 | 经颈静脉肝内门体静脉分流术后肾功能改变及其与生存情况的关系:单中心经验显示文摘背景:经颈静脉肝内门体静脉分流术(TIPS)对于肾功能的影响以及TIPS之后血肌酐(Cr)水平与病死率的关系仍然不明。本研究旨在评估TIPS对肾功能的影响,以及TIPS治疗后Cr水平与死亡风险的关系。方法:2004-2017年间接受TIPS治疗的593例患者被纳入研究。收集TIPS术前7天内(T0)以及术后12天(T1)、512天(T2)、1540天(T3)的Cr水平。采用多变量线性回归和Cox比例风险模型评估TIPS后Cr水平对1年死亡率的预测价值。结果:593例患者中,127例(21.4%)基础Cr水平升高(≥1.5 mg/dL;平均2.51˘1.49 mg/dL),466例(78.6%)基础Cr水平正常(<1.5 mg/dL;平均0.92˘0.26 mg/dL)。TIPS术前Cr水平升高的患者TIPS之后Cr水平显著降低(0.60 mg/dL),而TIPS术前Cr水平正常的患者TIPS之后Cr水平无明显变化(<0.01 mg/dL)。全组患者TIPS之后30天、90天及1年死亡率分别为13%、20%和32%。静脉曲张出血、T0 Cr高水平及T3高Cr水平是1年死亡率的独立危险因素。结论:对于基础肾功能不全的患者,TIPS可改善其肾功能。TIPS之后Cr水平是1年死亡风险的有效预测指标。 | Min Lang Angela L.Lang Brian Q.Tsui Weiping Wang Brian K.Erly Bo Shen Baljendra Kapoor | 2021 | Gastroenterology Report2021，9，4： | 0 |
| 6 | 经颈静脉肝内门体分流术后再入院率:14年的单中心诊疗经验显示文摘背景:经颈静脉肝内门体分流术(TIPS)常用于治疗门脉高压并发症。然而,关于TIPS术后再入院率的数据十分有限,而且尚无研究关注其再入院的原因。为此,本研究旨在明确本中心TIPS术后30天再入院率,并分析再入院的可能原因及预测因素。方法:我们通过Cleveland Clinic电子病案系统检索2004-2017年间接受初次TIPS治疗(采用聚四氟乙烯覆膜支架)的肝病患者,统计这些患者术后30天再入院率。采用单因素逻辑回归模型评估30天再入院的潜在预测因素。结果:566例TIPS患者纳入分析,其术后30天再入院率为36%。最常见的再入院原因包括意识模糊(48%)、感染(15%)、出血(11%)和液体过剩(7%)。终末期肝病模型(MELD)评分越高,再入院率越高(MELD评分每增加1分:OR¼1.06,95%CI:1.02–1.09,P¼0.001)。其他再入院的潜在预测因素(包括TIPS适应证)则未获本研究证实。结论:采用覆膜支架行TIPS术,其术后30天再入院率较高,且近半数的再入院是因为肝性脑病(一种已知的TIPS并发症)。未来应重点研发一些新的干预措施以降低TIPS再入院率。 | Catherine F.Vozzo Tavankit Singh Jennifer Bullen Shashank Sarvepalli Arthur McCullough Baljendra Kapoor | 2020 | Gastroenterology Report2020，8，2： | 0 |
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