Transjugular Intrahepatic Portosystemic Shunt (TIPS) for CirrhosisSkip to the navigation
Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure that may be used to reduceportal hypertensionand its complications, especiallyvariceal 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:
- 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:
Primary Medical Reviewer Adam Husney, MD - Family Medicine
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer W. Thomas London, MD - Internal Medicine, Hepatology
Current as ofMay 5, 2017
Current as of: May 5, 2017
To learn more about Healthwise, visit Healthwise.org.
© 1995-2018 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.