Gastrointestinal Hemorrhage

Figure 10 : The transjugular intrahepatic portosystemic shunts (TIPS) procedure. A. Using a transjugular approach, the middle hepatic vein is accessed, and the hepatic parenchyma is probed with a needle until a suitable portal vein is found. B. The liver between the hepatic and portal vein is dilated by a balloon. C. The stent (D) is then deployed. E. The stent provides decompression of the hypertensive portal venous system into the systemic circulation through the hepatic vein.

Diagnostic and Therapeutic Considerations for Specific Bleeding Sites

TIPS is highly effective as salvage therapy in high-risk patients with active variceal hemorrhage who fail endoscopic sclerotherapy. In this procedure, an intrahepatic portosystemic shunt is created between the hepatic vein and an intrahepatic branch ...

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