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接受TIPS治疗的患者的肉症独立地与并发症和死亡率的风险增加有关
Emma Vanderschueren1, Philippe Meersseman2, Alexander Wilmer2
1Department of Gastroenterology and Hepatology, University Hospital Leuven, Herestraat 49, Leuven, Belgium; Department of Chronic Diseases, Metabolism and Aging (CHROMETA), Catholic University of Leuven, Herestraat 49, Leuven, Belgium.
肉,肌肉损失的条件,增加了并发症和死亡率后的跨内肝移植系统分流 (TIPS) 程序. 然而, Sarcopenia 可以改善后TIPS,特别是在严重的病例和当并发症被避免.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 老年病的医生 老年病的医生
- 放射学 放射学是一门学科.
背景情况:
- 萨科佩尼亚是慢性肝病的一个已知的危险因素.
- 它对跨内肝移植系统分离 (TIPS) 后的结果的影响尚不清楚.
研究的目的:
- 为了调查石膏和TIPS后并发症和死亡率之间的关联.
- 为了评估TIPS后的萨尔科佩尼亚变化.
主要方法:
- 对接受TIPS (2011-2021) 的175名患者的回顾性分析.
- 基线和随访 (1-2年) 横向psoas肌肉厚度 (TPMT) 的测量.
- 使用TPMT/长度评估肉症演变的评估.
主要成果:
- Sarcopenic 患者在TIPS后的并发症率 (74.1% vs 57.9%) 和一年死亡率 (53.4% vs 22.3%) 较高.
- 超过58%的患者在TIPS后表现出改善的TPMT/长度.
- 在严重的sarcopenic患者和没有并发症的患者中,在sarcopenia中出现了最大的改善.
结论:
- 萨科佩尼亚与TIPS后的并发症和死亡率增加有关.
- TIPS安置可以导致肉症的改善,特别是在严重的病例和没有并发症的情况下.
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