title: Role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension.
abstract: A transjugular intrahepatic portosystemic shunt (TIPS) is an expandable metal stent inserted via the jugular vein that creates a shunt from the portal vein to the systemic circulation via an artificial communication through the liver. It is used to treat complications of portal hypertension. In addition to rescue treatment in variceal bleeding, TIPS can play an important role in prevention of rebleeding. TIPS can improve symptoms if medical treatment of ascites or hepatic hydrothrorax has failed, but may not improve survival. Selected cases of Budd-Chiari syndrome improve with TIPS. This article discusses the indications, evidence, and complications of TIPS.
authors.affiliation: NIHR Centre for Liver Research, University of Birmingham, Birmingham B15 2TT, UK. Electronic address: richardparker@nhs.net.
authors.forename: Richard
authors.initials: R
authors.lastname: Parker
mesh_terms: D006502:Budd-Chiari Syndrome / Q000601:surgery; D000075202:Contraindications; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000517:prevention & control / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000503:physiopathology / Q000601:surgery*; D017082:Portal Pressure; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000379:methods; D055502:Secondary Prevention; D016896:Treatment Outcome
keywords: Ascites; Portal hypertension; Transjugular intrahepatic portosystemic shunt; Varices