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Transjugular intrahepatic portosystemic stent shunt.
Natl Med J India. 1995 Jan-Feb; 8(1):15-21.NM

Abstract

The transjugular intrahepatic portosystemic stent shunt (TIPSS) is essentially a side-to-side portocaval shunt performed by interventional radiological methods which connects the hepatic vein to the portal vein via the liver parenchyma. It can be performed successfully in 85% to 95% patients. The procedure mortality is low (1% to 2%) and is mainly from intraperitoneal bleeding. Major indications for TIPSS are in patients in whom sclerotherapy for bleeding varices has failed, those who have recurrent variceal haemorrhage after sclerotherapy or band ligation and in patients with refractory ascites, hypersplenism and portal gastropathy. It has also been used in some patients with the Budd-Chiari syndrome, portal vein thrombosis and cirrhotic hydrothorax. TIPSS is followed by variceal rebleeding and encephalopathy in about 10% to 20% of cases, deterioration in liver function in about 25% to 35% and shunt dysfunction in 15% to 60%. Further research should be directed at developing newer types of stents to prevent shunt dysfunction.

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Authors+Show Affiliations

Jalan R
Royal Infirmary of Edinburgh, United Kingdom.
Redhead DN
No affiliation info available
Hayes PC
No affiliation info available

MeSH

AlgorithmsAnimalsBlood Loss, SurgicalClinical ProtocolsEsophageal and Gastric VaricesFollow-Up StudiesGastrointestinal HemorrhageHemodynamicsHumansPortasystemic Shunt, SurgicalPostoperative ComplicationsPreoperative CareRecurrenceStentsTreatment Outcome

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

7696939

Citation

Jalan, R, et al. "Transjugular Intrahepatic Portosystemic Stent Shunt." The National Medical Journal of India, vol. 8, no. 1, 1995, pp. 15-21.
Jalan R, Redhead DN, Hayes PC. Transjugular intrahepatic portosystemic stent shunt. Natl Med J India. 1995;8(1):15-21.
Jalan, R., Redhead, D. N., & Hayes, P. C. (1995). Transjugular intrahepatic portosystemic stent shunt. The National Medical Journal of India, 8(1), 15-21.
Jalan R, Redhead DN, Hayes PC. Transjugular Intrahepatic Portosystemic Stent Shunt. Natl Med J India. 1995 Jan-Feb;8(1):15-21. PubMed PMID: 7696939.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transjugular intrahepatic portosystemic stent shunt. AU - Jalan,R, AU - Redhead,D N, AU - Hayes,P C, PY - 1995/1/1/pubmed PY - 1995/1/1/medline PY - 1995/1/1/entrez SP - 15 EP - 21 JF - The National medical journal of India JO - Natl Med J India VL - 8 IS - 1 N2 - The transjugular intrahepatic portosystemic stent shunt (TIPSS) is essentially a side-to-side portocaval shunt performed by interventional radiological methods which connects the hepatic vein to the portal vein via the liver parenchyma. It can be performed successfully in 85% to 95% patients. The procedure mortality is low (1% to 2%) and is mainly from intraperitoneal bleeding. Major indications for TIPSS are in patients in whom sclerotherapy for bleeding varices has failed, those who have recurrent variceal haemorrhage after sclerotherapy or band ligation and in patients with refractory ascites, hypersplenism and portal gastropathy. It has also been used in some patients with the Budd-Chiari syndrome, portal vein thrombosis and cirrhotic hydrothorax. TIPSS is followed by variceal rebleeding and encephalopathy in about 10% to 20% of cases, deterioration in liver function in about 25% to 35% and shunt dysfunction in 15% to 60%. Further research should be directed at developing newer types of stents to prevent shunt dysfunction. SN - 0970-258X UR - https://www.unboundmedicine.com/medline/citation/7696939/Transjugular_intrahepatic_portosystemic_stent_shunt_ L2 - http://archive.nmji.in/approval/archive/Volume-8/issue-1/review-article.pdf DB - PRIME DP - Unbound Medicine ER -