Transjugular intrahepatic portosystemic shunt
In medicine, transjugular intrahepatic portasystemic shunt (TIPSS) is "A type of surgical portasystemic shunt to reduce portal hypertension with associated complications of esophageal varices and ascites. It is performed percutaneously through the jugular vein and involves the creation of an intrahepatic shunt between the hepatic vein and portal vein. The channel is maintained by a metallic stent. The procedure can be performed in patients who have failed sclerotherapy and is an additional option to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes one to three hours to perform.[1][2]
Effectiveness
TIPSS was systematically reviewed by the Cochrane Collaboration who concluded that "TIPS was more effective at removing ascites as compared with paracentesis...however, TIPS patients develop hepatic encephalopathy significantly more often"[3]
TIPSS was better than peritoneovenous shunt in a randomized controlled trial.[4]
References
- ↑ Anonymous (2024), Transjugular intrahepatic portosystemic shunt (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Miller-Catchpole R (1995). "Diagnostic and therapeutic technology assessment. Transjugular intrahepatic portosystemic shunt (TIPS).". JAMA 273 (23): 1824-30. PMID 7776491.
- ↑ Saab S, Nieto JM, Lewis SK, Runyon BA (2006). "TIPS versus paracentesis for cirrhotic patients with refractory ascites". Cochrane database of systematic reviews (Online) (4): CD004889. DOI:10.1002/14651858.CD004889.pub2. PMID 17054221. Research Blogging.
- ↑ Rosemurgy AS, Zervos EE, Clark WC, Thometz DP, Black TJ, Zwiebel BR et al. (2004). "TIPS versus peritoneovenous shunt in the treatment of medically intractable ascites: a prospective randomized trial.". Ann Surg 239 (6): 883-9; discussion 889-91. PMID 15166968. PMC PMC1356297.