P46 Blood lactate may be superior to child-pugh score for identifying futility in patients undergoing salvage TIPSS

As per the recently published British Society of Gastroenterology guideline, salvage transjugular intrahepatic portosystemic stent-shunt (TIPSS) is not recommended where the Child-Pugh score is >13 because of futility; however data is sparse, and case series have largely predated the use of covered stents and the modern era of Intensive Care management.

Aim

We sought to determine whether Child-Pugh score >13 is indeed a...