[TIPS--transjugular intrahepatic portosystemic shunt. Experiences from a recently started center].
The transjugular intrahepatic portosystemic shunt (TIPS) is a percutaneous, minimally invasive, method of creating a portosystemic shunt for the treatment of portal hypertension. The results of the first 54 TIPS procedures are reported. There were no severe procedure-related complications. TIPS implantation was successful in 52 patients. Rebleeding was seen in 13% of the patients. Hepatic encephalopathy developed in 19%, but only in 11% as a chronic complication. Seven out of 9 patients with refractory ascites no longer required paracentesis after six months. The cumulative survival for the whole group was 81% after one year and 62% after three years.
Astrup
Lone Bording
LB
Arhus Universitetshospital, Arhus Kommunehospital, medicinsk afdeling V og radiologisk afdeling R.
Grønbaek
Henning
H
Redsted
Søren
S
Nielsen
Dennis Tønner
DT
Vilstrup
Hendrik
H
D000328:Adult; D000368:Aged; D000075202:Contraindications; D003718:Denmark; D004932:Esophageal and Gastric Varices / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006501:Hepatic Encephalopathy / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000706:statistics & numerical data; D011379:Prognosis; D015607:Stents; D016896:Treatment Outcome