Cirrhotic Patients Undergoing TIPS Placement
Conditions
Brief summary
This is a randomized controlled trial whose purpose is to evaluate the efficacy of therapy with lactulose and rifaximin associated with a vegetable diet in the prevention of post-TIPS hepatic encephalopathy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* consecutive cirrhotic patients undergoing TIPS
Exclusion criteria
* age \>75 years; bilirubin levels \>5 mg/dl; creatinine levels \>3 mg/dl; a serious cardiac or pulmonary dysfunction; a Child-Pugh's score \>11 (except for the patients candidates to early TIPS); a model end-stage liver disease (MELD) score \>18; a diagnosis of hepatic carcinoma; sepsis; spontaneous bacterial peritonitis; renal insufficiency. Present HE or previous spontaneous/recurrent HE, alcohol/psychoactive drugs intake (positive alcoholaemia and/or benzodiazepines or opioid urine metabolites) at the moment of evaluation, unrelated neurological disease including dementia (mini mental state \< 26).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of hepatic encephalopathy | one month |
Countries
Italy