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Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure that may be used to reduce portal hypertension and its complications, especially variceal bleeding. A TIPS procedure may be done by a radiologist, who places a small wire-mesh coil (stent) into a liver vein. The stent is then expanded using a small inflatable balloon (angioplasty). The stent forms a channel, or shunt, that bypasses the liver. This channel reduces pressure in the portal vein. By reducing portal hypertension, enlarged veins (varices) are less likely to rupture and bleed. And other complications of cirrhosis called ascites (fluid in the abdomen) and hepatic hydrothorax (fluid between the lungs and the chest wall) may improve or go away.
TIPS may be used to:
Complications of the procedure may include:
Bacon BR (2015). Cirrhosis and its complications. In DL Kasper et al., eds., Harrison's Principles of Internal Medicine, 19th ed., vol. 2, pp. 2058-2067. New York: McGraw-Hill Education.
ByHealthwise StaffPrimary Medical ReviewerAdam Husney, MD - Family MedicineE. Gregory Thompson, MD - Internal MedicineSpecialist Medical ReviewerW. Thomas London, MD - Internal Medicine, Hepatology
Current as ofMarch 28, 2018
Current as of:
March 28, 2018
Adam Husney, MD - Family Medicine
& E. Gregory Thompson, MD - Internal Medicine & W. Thomas London, MD - Internal Medicine, Hepatology
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