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Digestive Disease Interventions 2017; 01(04): 265-271
DOI: 10.1055/s-0038-1629915
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

TIPS in the Treatment of Variceal Bleeding

Joseph D. Morrison
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Andrew J. Lipnik
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Ron C. Gaba
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

26 July 2017

02 January 2018

Publication Date:
14 February 2018 (online)

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Abstract

Variceal bleeding is a life-threatening complication of portal hypertension. In recent years, transjugular intrahepatic portosystemic shunt (TIPS) creation has cemented a role in the management of acute refractory bleeding and recurrent variceal hemorrhage. This article aims to review the use of TIPS in patients with variceal bleeding, with a focus on accepted procedure indications, patient selection criteria, TIPS technique, clinical outcomes, and contemporary issues, such as early TIPS in acute variceal hemorrhage, the role of adjuvant embolotherapy, and TIPS utility for gastric varices.

Keywords

transjugular intrahepatic portosystemic shunt (TIPS) - gastroesophageal varices - hemorrhage
 

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