Gastrointestinal Bleeding as a Result of Portal Hypertension

  • Jonathan Marshall


TIPS (transjugular intrahepatic portosystemic shunt) was first performed in the early 1980s to treat esophageal varices, but additional indications for the procedure have developed since then. In acute variceal hemorrhage, TIPS is currently implemented in the setting of failed endoscopic intervention and has demonstrated low procedural complication rates, low rebleeding rates, excellent primary patency of the TIPS stent, and low rates of TIPS-induced encephalopathy. Additional techniques have been developed to manage those patients with poor hepatic anatomy and those patients with complicated gastric varices.


Transjugular intrahepatic shunt (TIPS) Direct intracaval intrahepatic shunt (DIPS) Variceal hemorrhage Gastric varices Stomal varices Balloon retrograde total obliteration (BRTO) Coil-assisted retrograde total obliteration (CARTO) Stomal varices Encephalopathy Viatorr 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jonathan Marshall
    • 1
  1. 1.Department of RadiologyErie County Medical CenterBuffaloUSA

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