Titre :

Consequences of tipss placement on the body composition of patients with cirrhosis and severe portal hypertension: a large retrospective ct-based surveillance

Auteur(s) :

Artru, Florent [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Miquet, Xavier [Auteur]
Azahaf, Mustapha [Auteur]
Labreuche, Julien [Auteur]
Ntandja Wandji, Line [Auteur]
Sergent, Geraldine [Auteur]
Nobecourt, Amelie [Auteur]
Toumelin, Pierre [Auteur]
Lassailly, Guillaume [Auteur]
Dharancy, Sebastien [Auteur]
Ernst, Olivier [Auteur]
Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189
Mathurin, Philippe [Auteur]
Louvet, Alexandre [Auteur]

Titre de la revue :

Alimentary pharmacology & therapeutics

Nom court de la revue :

Aliment. Pharmacol. Ther.

Date de publication :

2020-09-15

ISSN :

1365-2036

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Body composition may be modified after improvement of portal hypertension (PHT) by transjugular intrahepatic portosystemic shunt (TIPSS) insertion. To evaluate changes in body composition following TIPSS placement, their ...
Lire la suite >Body composition may be modified after improvement of portal hypertension (PHT) by transjugular intrahepatic portosystemic shunt (TIPSS) insertion. To evaluate changes in body composition following TIPSS placement, their relationship with radiological TIPSS patency and function, and the predictive value of these parameters METHODS: We retrospectively included 179 patients with cirrhosis who underwent TIPSS placement in our centre for severe PHT from 2011 to 2017. CT scan-based surveillance was performed at baseline, 1-3 (M1-M3) and 6 months (M6). The median model for end-stage liver disease (MELD) score was 11.4 (8.8-15.1) and Child-Pugh score 8 (7-9). Only the MELD score (HR 1.14, 95% CI 1.08-1.20) and sarcopenia assessed by transversal right psoas muscle thickness at the umbilical level/height (TPMPT/height) (HR 0.86, 95% CI 0.79-0.96) were independently associated with 6-month mortality on multivariate analysis. After TIPSS insertion, TPMT/height increased from 19 mm/m (baseline) to 19.6 mm/m (M1-M3, P = 0.004) and 21.1 mm/m (M6, P < 0.0001). The improvement and its extent were dependent on the radiological patency and dysfunction of TIPSS. Subcutaneous fat surface (SCFS) increased from 183.4 to 193 cm2222 Sarcopenia is independently associated with 6-month outcome and improves after TIPSS placement, together with an inverse evolution of subcutaneous and visceral fat. TIPSS not only treats PHT but also improves body composition.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
• Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189

Date de dépôt :

2021-07-06T12:46:01Z