Early Psoas Muscle Gain After TIPS Predicts Better Survival and Less Encephalopathy in Sarcopenic Cirrhosis

In 390 cirrhotic patients with sarcopenia undergoing TIPS, sarcopenia reversal at 1 month (48.2%) was associated with higher survival (84.6% vs 68.2%; HR 0.24) and lower OHE (16.6% vs 51.1%; HR 0.26). PMI improvement rate was an independent predictor; optimal cutoffs >11.8% for…

• Sarcopenia reversal at 1 month post-TIPS occurred in 48.2% and was linked to significantly higher overall survival (HR 0.24) and lower overt hepatic encephalopathy incidence (HR 0.26).
• PMI improvement rate cutoffs of 11.8% (mortality) and 15.8% (OHE) effectively stratified risk.

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