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    Transjugular Intrahepatic Portosystemic Shunt (TIPS) for Cirrhosis - Topic Overview

    Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure that may be used to reduce portal hypertension and its complications, especially variceal bleeding. A TIPS procedure may be done by a radiologist, who places a small wire-mesh coil (stent) into a liver vein. The stent is then expanded using a small inflatable balloon (angioplasty). The stent forms a channel, or shunt, that bypasses the liver. This channel reduces pressure in the portal vein. By reducing portal hypertension, enlarged veins (varices) are less likely to rupture and bleed. And other complications of cirrhosis called ascites (fluid in the abdomen) and hepatic hydrothorax (fluid between the lungs and the chest wall) may improve or go away.

    TIPS may be used to:

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    Understanding Treatment for Cirrhosis

    Describing your symptoms and medical history, along with the results of a physical exam, are usually enough to diagnose a case of cirrhosis. Once the diagnosis has been made, your doctor may order one or more liver function tests, which will use blood samples to identify specific liver diseases and assess the organ's overall health. It may be helpful to perform a CT scan or ultrasound to further evaluate the extent of liver disease. The doctor may also require a liver biopsy, or tissue sample,...

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    • Treat fluid buildup that continues to occur in the abdominal cavity despite medical therapy (refractory ascites).
    • Treat acute variceal bleeding that is not controlled by standard treatment.
    • Prevent recurrent episodes of variceal bleeding when sclerotherapy or band ligation has failed.
    • Treat variceal bleeding while someone is waiting for a liver transplant.

    Complications of the procedure may include:

    • Encephalopathy. Up to 20 out of 100 people who have TIPS surgery develop encephalopathy after the surgery.1
    • Malfunction of the stent, such as narrowing (stenosis) or closing (occlusion).

    WebMD Medical Reference from Healthwise

    Last Updated: November 14, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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