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TIPPS

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

This radiological technique for treating acute variceal bleeding may be considered in patients with intractable or recurrent acute variceal haemorrhage.

It involves creating a shunt between the portal and sytemic circulations under radiological guidance via a transjugular approach.

Its advantages include the avoidance of surgery which has a mortality of 10%

  • however encephalopathy eventually occurs in 20% of cases and the rebleed rate is high at over 25% at one year (1)

Reference:

  • McNair ANB, Tibbs CJ, Williams R. Recent Advances Hepatology. BMJ 1995;311:1351-5.

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