Sarcopenia Does Not Worsen Survival in Patients With Cirrhosis Undergoing Transjugular Intrahepatic Portosystemic Shunt for Refractory Ascites

Amine Benmassaoud, Davide Roccarina, Francesco Arico, Gioacchino Leandro, Becky Yu, Felix Cheng, Dominic Yu, David Patch, Emmanuel Tsochatzis

Research output: Contribution to journalArticlepeer-review

Abstract

INTRODUCTION: The impact of sarcopenia in patients undergoing transjugular intrahepatic portosystemic shunt (TIPSS) insertion for refractory ascites is unknown. METHODS: All adult patients who underwent TIPSS insertion for refractory ascites between 2010 and 2018 were included. Skeletal muscle index at L3 was used to determine sarcopenia status. RESULTS: One hundred seven patients were followed for 14.2 months. Sarcopenia was present in 57% of patients. No patient had history of pre-TIPSS hepatic encephalopathy (HE). De novo HE occurred in 30% of patients. On multivariate analysis, only platelet count and L3-SMI predicted de novo HE. On multivariate analysis, age and model for end-stage liver disease with sodium predicted mortality, whereas L3-SMI and sarcopenia did not. In patients with repeat imaging, L3-SMI improved significantly post-TIPSS compared with baseline. DISCUSSION: Sarcopenia should not be considered as a contraindication to TIPSS insertion in refractory ascites because it is not associated with de novo HE or increased mortality.

Original languageEnglish
Pages (from-to)1911-1914
Number of pages4
JournalThe American journal of gastroenterology
Volume115
Issue number11
DOIs
Publication statusPublished - Nov 1 2020

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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