Role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension

Richard Parker

doi:10.1016/j.cld.2013.12.004

Role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension

Richard Parker

Immunology and Immunotherapy

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

Abstract

A transjugular intrahepatic portosystemic shunt (TIPS) is an expandable metal stent inserted via the jugular vein that creates a shunt from the portal vein to the systemic circulation via an artificial communication through the liver. It is used to treat complications of portal hypertension. In addition to rescue treatment in variceal bleeding, TIPS can play an important role in prevention of rebleeding. TIPS can improve symptoms if medical treatment of ascites or hepatic hydrothrorax has failed, but may not improve survival. Selected cases of Budd-Chiari syndrome improve with TIPS. This article discusses the indications, evidence, and complications of TIPS.

Original language	English
Pages (from-to)	319-34
Number of pages	16
Journal	Clinics in Liver Disease
Volume	18
Issue number	2
DOIs	https://doi.org/10.1016/j.cld.2013.12.004
Publication status	Published - May 2014

Bibliographical note

Keywords

Budd-Chiari Syndrome
Emergencies
Esophageal and Gastric Varices
Gastrointestinal Hemorrhage
Humans
Hypertension, Portal
Portal Pressure
Portasystemic Shunt, Transjugular Intrahepatic
Secondary Prevention
Treatment Outcome

Access to Document

10.1016/j.cld.2013.12.004

Role of CXCR6/CXCL16 in Steatohepatitis
Parker, R. (Principal Investigator), Adams, D. (Co-Investigator) & Rot, A. (Co-Investigator)
Medical Research Council
1/12/11 → 31/03/15
Project: Research Councils

Cite this

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title = "Role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension",

abstract = "A transjugular intrahepatic portosystemic shunt (TIPS) is an expandable metal stent inserted via the jugular vein that creates a shunt from the portal vein to the systemic circulation via an artificial communication through the liver. It is used to treat complications of portal hypertension. In addition to rescue treatment in variceal bleeding, TIPS can play an important role in prevention of rebleeding. TIPS can improve symptoms if medical treatment of ascites or hepatic hydrothrorax has failed, but may not improve survival. Selected cases of Budd-Chiari syndrome improve with TIPS. This article discusses the indications, evidence, and complications of TIPS.",

keywords = "Budd-Chiari Syndrome, Emergencies, Esophageal and Gastric Varices, Gastrointestinal Hemorrhage, Humans, Hypertension, Portal, Portal Pressure, Portasystemic Shunt, Transjugular Intrahepatic, Secondary Prevention, Treatment Outcome",

author = "Richard Parker",

year = "2014",

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doi = "10.1016/j.cld.2013.12.004",

language = "English",

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AU - Parker, Richard

PY - 2014/5

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N2 - A transjugular intrahepatic portosystemic shunt (TIPS) is an expandable metal stent inserted via the jugular vein that creates a shunt from the portal vein to the systemic circulation via an artificial communication through the liver. It is used to treat complications of portal hypertension. In addition to rescue treatment in variceal bleeding, TIPS can play an important role in prevention of rebleeding. TIPS can improve symptoms if medical treatment of ascites or hepatic hydrothrorax has failed, but may not improve survival. Selected cases of Budd-Chiari syndrome improve with TIPS. This article discusses the indications, evidence, and complications of TIPS.

AB - A transjugular intrahepatic portosystemic shunt (TIPS) is an expandable metal stent inserted via the jugular vein that creates a shunt from the portal vein to the systemic circulation via an artificial communication through the liver. It is used to treat complications of portal hypertension. In addition to rescue treatment in variceal bleeding, TIPS can play an important role in prevention of rebleeding. TIPS can improve symptoms if medical treatment of ascites or hepatic hydrothrorax has failed, but may not improve survival. Selected cases of Budd-Chiari syndrome improve with TIPS. This article discusses the indications, evidence, and complications of TIPS.

KW - Budd-Chiari Syndrome

KW - Emergencies

KW - Esophageal and Gastric Varices

KW - Gastrointestinal Hemorrhage

KW - Humans

KW - Hypertension, Portal

KW - Portal Pressure

KW - Portasystemic Shunt, Transjugular Intrahepatic

KW - Secondary Prevention

KW - Treatment Outcome

U2 - 10.1016/j.cld.2013.12.004

DO - 10.1016/j.cld.2013.12.004

M3 - Article

C2 - 24679497

SN - 1089-3261

VL - 18

SP - 319

EP - 334

JO - Clinics in Liver Disease

JF - Clinics in Liver Disease

IS - 2

ER -

Role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension

Abstract

Bibliographical note

Keywords

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Role of CXCR6/CXCL16 in Steatohepatitis

Cite this