Digestive Diseases

 

Transjugular Intrahepatic Portosystemic Shunt: A Medical Perspective

Sanyal A.J. · Shiffman M.L.

Author affiliations

Division of Gastroenterology, Department of Internal Medicine, Medical College of Virginia, Virginia Commonwealth University, Richmond, Va., USA

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Dig Dis 1995;13:153–162

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: November 04, 2008
Issue release date: 1995

Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 0

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: https://www.karger.com/DDI

Abstract

The transjugular intrahepatic portosystemic shunt (TIPS) is an exciting new addition to the therapeutic armamentarium against portal hypertension. It is currently indicated for salvage of patients with active variceal hemorrhage despite sclerotherapy or where sclerotherapy is not feasible. Its use for recurrent episodes of bleeding despite chronic sclerotherapy and for ascites and hepatorenal syndrome remains experimental. It is contraindicated in patients with right-heart failure and portal vein thrombosis. TIPS is not indicated for primary prophylaxis of variceal hemorrhage or portal decompression prior to liver transplantation. TIPS is associated with its unique spectrum of complications which can occasionally be lifethreatening. Although initial experience with this procedure is encouraging, a great amount of work remains to be done to fully define its role in clinical practice.

© 1995 S. Karger AG, Basel




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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: November 04, 2008
Issue release date: 1995

Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 0

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: https://www.karger.com/DDI


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