The Transjugular Intrahepatic Portosystemic Shunt in the Treatment of Portal Hypertension : Current Status
Joint Authors
Guérette, Dave
Bouchard, Louis
Bissonnette, Julien
Pomier-Layrargues, Gilles
Lafortune, Michel
Perreault, Pierre
Source
International Journal of Hepatology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-19
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
The transjugular intrahepatic portosystemic shunt (TIPS) represents a major advance in the treatment of complications of portal hypertension.
Technical improvements and increased experience over the past 24 years led to improved clinical results and a better definition of the indications for TIPS.
Randomized clinical trials indicate that the TIPS procedure is not a first-line therapy for variceal bleeding, but can be used when medical treatment fails, both in the acute situation or to prevent variceal rebleeding.
The role of TIPS to treat refractory ascites is probably more justified to improve the quality of life rather than to improve survival, except for patients with preserved liver function.
It can be helpful for hepatic hydrothorax and can reverse hepatorenal syndrome in selected cases.
It is a good treatment for Budd Chiari syndrome uncontrollable by medical treatment.
Careful selection of patients is mandatory before TIPS, and clinical followup is essential to detect and treat complications that may result from TIPS stenosis (which can be prevented by using covered stents) and chronic encephalopathy (which may in severe cases justify reduction or occlusion of the shunt).
A multidisciplinary approach, including the resources for liver transplantation, is always required to treat these patients.
American Psychological Association (APA)
Pomier-Layrargues, Gilles& Bouchard, Louis& Lafortune, Michel& Bissonnette, Julien& Guérette, Dave& Perreault, Pierre. 2012. The Transjugular Intrahepatic Portosystemic Shunt in the Treatment of Portal Hypertension : Current Status. International Journal of Hepatology،Vol. 2012, no. 2012, pp.1-12.
https://search.emarefa.net/detail/BIM-451258
Modern Language Association (MLA)
Pomier-Layrargues, Gilles…[et al.]. The Transjugular Intrahepatic Portosystemic Shunt in the Treatment of Portal Hypertension : Current Status. International Journal of Hepatology No. 2012 (2012), pp.1-12.
https://search.emarefa.net/detail/BIM-451258
American Medical Association (AMA)
Pomier-Layrargues, Gilles& Bouchard, Louis& Lafortune, Michel& Bissonnette, Julien& Guérette, Dave& Perreault, Pierre. The Transjugular Intrahepatic Portosystemic Shunt in the Treatment of Portal Hypertension : Current Status. International Journal of Hepatology. 2012. Vol. 2012, no. 2012, pp.1-12.
https://search.emarefa.net/detail/BIM-451258
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451258