Letter on 'Post-TIPS Overt Hepatic Encephalopathy Increases Long-Term but Not Short-Term Mortality in Cirrhotic Patients With Variceal Bleeding: A Large-Scale, Multicentre Real-World'

Nevertheless, further prospective studies considering also malnutrition, frailty and cardiac index are needed to confirm these results and intensive research to improve patient selection and enable risk stratification remains crucial to ameliorate the quality of life of patients and caregivers and to avoid undermining the positive effects of TIPS on survival.