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Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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)


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

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