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Clin Gastroenterol Hepatol. 2011 Nov;9(11):936-46; quiz e123. doi: 10.1016/j.cgh.2011.06.013. Epub 2011 Jun 21.

Using transjugular intrahepatic portosystemic shunts for complications of cirrhosis.

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  • 1Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia 23298-0341, USA.


Transjugular intrahepatic portosystemic shunt (TIPS) decompresses the portal venous system. TIPS has been used to manage the complications of portal hypertension in cirrhosis, including variceal hemorrhage and refractory ascites. The uncoated TIPS stents are limited by stent stenosis; however, the introduction of coated stents has decreased this. With the introduction of coated stents, we must reevaluate the utility of TIPS in the management of complications of portal hypertension.

Copyright © 2011 AGA Institute. Published by Elsevier Inc. All rights reserved.

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