Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier
WebMD

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started
My Medicine
WebMD

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion
    WebMD

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community
    WebMD

    Community

    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Font Size
A
A
A

What Is Portal Hypertension?

Other Treatment Options for Portal Hypertension

If endoscopic therapy, drug therapy, and/or dietary changes don't successfully control variceal bleeding, you may require one of the following procedures to reduce the pressure in these veins. Decompression procedures include:

  • Transjugular intrahepatic portosystemic shunt (TIPS): This procedure involves placing a stent (a tubular device) in the middle of the liver. The stent connects the hepatic vein with the portal vein, which reroutes blood flow in the liver and helps relieve pressure in abnormal veins.
  • Distal splenorenal shunt (DSRS): This procedure connects the vein from your spleen to the vein from the left kidney in order to reduce pressure in the varices and control bleeding.

What Tests Might Be Performed Before the TIPS and DSRS Procedures?

Before receiving either of these procedures for portal hypertension, the following tests may be performed to determine the extent and severity of your condition:

  • Evaluation of your medical history
  • A physical exam
  • Blood tests
  • Angiogram (an X-ray test that takes pictures of the blood flow within a particular artery)
  • Ultrasound
  • Endoscopy

Before either the TIPS or DSRS procedure, your doctor may ask you to have other tests, which may include an electrocardiogram (EKG) (a test that records the electrical activity of your heart), chest X-ray, or additional blood tests. If your doctor thinks you will need additional blood products (such as plasma), they will be ordered at this time.

What Happens During the TIPS Procedure?

During the TIPS procedure, a radiologist makes a tunnel through the liver with a needle, connecting the portal vein to one of the hepatic veins (veins connected to the liver). A metal stent is placed in this tunnel to keep it open.

The procedure reroutes blood flow in the liver and reduces pressure in abnormal veins, not only in the stomach and esophagus, but also in the bowel and the liver.

This is not surgery. The radiologist performs the procedure within the vessels under X-ray guidance. The process lasts one to three hours, but you should expect to stay in the hospital overnight after the procedure.

Today on WebMD

man holding his stomach
Get the facts on common problems.
blueberries in a palm
Best and worst foods.
 
woman shopping
Learn what foods to avoid.
fresh and dried plums
Will it help constipation?
 
diverticuliltis illustration
Slideshow
couple eating at cafe
Article
 
sick child
Slideshow
Woman blowing bubble gum
Slideshow
 

Send yourself a link to download the app.

Loading ...

Please wait...

This feature is temporarily unavailable. Please try again later.

Thanks!

Now check your email account on your mobile phone to download your new app.

Woman with crohns in pain
Slideshow
Woman with stomach pain
Slideshow
 
diet for diverticulitis
Video
what causes diarrhea
Video