Alterations in the Gut Microbiota of Cirrhosis Patients with Sarcopenia and PH after TIPS

TIPS induces significant taxonomic shifts without changing overall diversity in cirrhosis patients with sarcopenia and PH, suggesting partial microbial restoration. Enrichment of SCFA-producing bacteria may correlates with improved sarcopenia, whereas pro-inflammatory taxa may indicate poor recovery and higher risk of complications. These findings highlight the gut-muscle-liver axis and support microbiome-based biomarkers and interventions to optimize outcomes after TIPS.