Role of Transjugular Intrahepatic Portosystemic Shunt in the Management of Portal Hypertension

被引：16
作者：
Parker, Richard [1 ]
机构：
[1] Univ Birmingham, NIHR Ctr Liver Res, Birmingham B15 2TT, W Midlands, England
来源：
CLINICS IN LIVER DISEASE | 2014年 / 18卷 / 02期
基金：
英国医学研究理事会;
关键词：
Transjugular intrahepatic portosystemic shunt; Portal hypertension; Varices; Ascites; BUDD-CHIARI-SYNDROME; RANDOMIZED CONTROLLED-TRIAL; PARACENTESIS PLUS ALBUMIN; ORTHOTOPIC LIVER-TRANSPLANTATION; SEVERE HEPATOPULMONARY SYNDROME; ANTRAL VASCULAR ECTASIA; COVERED STENT-GRAFTS; REFRACTORY ASCITES; CIRRHOTIC-PATIENTS; HEPATORENAL-SYNDROME;
D O I：
10.1016/j.cld.2013.12.004
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
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.
引用
收藏
页码：319 / +
页数：18
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