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The use and misuse of transjugular intrahepatic portasystemic shunts.
Curr Gastroenterol Rep. 2000 Feb; 2(1):61-71.CG

Abstract

Transjugular intrahepatic portasystemic shunts, or TIPS, are used to create a low-resistance channel between the hepatic vein and the intrahepatic portion of the portal vein by deployment of an expandable metal stent. TIPS function like side-to-side surgical portacaval shunts, but their placement does not require anesthesia and major surgery. This article reviews the uses and misuses of TIPS in current practice. The uses include variceal hemorrhage and ascites as well as miscellaneous indications such as Budd-Chiari syndrome, veno-occlusive disease, bleeding ectopic and rectal varices, hepatic hydrothorax, and portal hypertensive gastropathy. TIPS is not indicated for primary prophylaxis of variceal hemorrhage, prehepatic portal hypertension, correction of hypersplenism and thrombocytopenia, pulmonary hypertension and hepatopulmonary syndrome, and portal hypertension associated with polycystic liver disease or Caroli's disease. Also reviewed herein is the management of patients after TIPS placement.

Authors+Show Affiliations

Sanyal AJ
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical College of Virginia Campus of the Virginia Commonwealth University, MCV Box 980341, Richmond, VA 23298-0341,USA. ajsanyal@hsc.vcu.edu.

MeSH

AscitesEsophageal and Gastric VaricesGastrointestinal HemorrhageHealth Services MisuseHumansHypertension, PortalLiver CirrhosisPortasystemic Shunt, Transjugular IntrahepaticStents

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

10981005

Citation

Sanyal, A J.. "The Use and Misuse of Transjugular Intrahepatic Portasystemic Shunts." Current Gastroenterology Reports, vol. 2, no. 1, 2000, pp. 61-71.
Sanyal AJ. The use and misuse of transjugular intrahepatic portasystemic shunts. Curr Gastroenterol Rep. 2000;2(1):61-71.
Sanyal, A. J. (2000). The use and misuse of transjugular intrahepatic portasystemic shunts. Current Gastroenterology Reports, 2(1), 61-71.
Sanyal AJ. The Use and Misuse of Transjugular Intrahepatic Portasystemic Shunts. Curr Gastroenterol Rep. 2000;2(1):61-71. PubMed PMID: 10981005.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use and misuse of transjugular intrahepatic portasystemic shunts. A1 - Sanyal,A J, PY - 2000/9/12/pubmed PY - 2001/2/28/medline PY - 2000/9/12/entrez SP - 61 EP - 71 JF - Current gastroenterology reports JO - Curr Gastroenterol Rep VL - 2 IS - 1 N2 - Transjugular intrahepatic portasystemic shunts, or TIPS, are used to create a low-resistance channel between the hepatic vein and the intrahepatic portion of the portal vein by deployment of an expandable metal stent. TIPS function like side-to-side surgical portacaval shunts, but their placement does not require anesthesia and major surgery. This article reviews the uses and misuses of TIPS in current practice. The uses include variceal hemorrhage and ascites as well as miscellaneous indications such as Budd-Chiari syndrome, veno-occlusive disease, bleeding ectopic and rectal varices, hepatic hydrothorax, and portal hypertensive gastropathy. TIPS is not indicated for primary prophylaxis of variceal hemorrhage, prehepatic portal hypertension, correction of hypersplenism and thrombocytopenia, pulmonary hypertension and hepatopulmonary syndrome, and portal hypertension associated with polycystic liver disease or Caroli's disease. Also reviewed herein is the management of patients after TIPS placement. SN - 1522-8037 UR - https://www.unboundmedicine.com/medline/citation/10981005/The_use_and_misuse_of_transjugular_intrahepatic_portasystemic_shunts_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -