To the Editor:Transjugularintrahepaticportosystemicshunt(TIPS)isusuallyconsideredthechoiceformanagingcomplicationsofportal hypertensionsuchasrefractoryascites,esophagogastricvariceal bleedingandrecurrentbleedinguncont...To the Editor:Transjugularintrahepaticportosystemicshunt(TIPS)isusuallyconsideredthechoiceformanagingcomplicationsofportal hypertensionsuchasrefractoryascites,esophagogastricvariceal bleedingandrecurrentbleedinguncontrolledwithfirstline treatment.Inrecentyears,TIPShasbeensuccessfullyusedto treat Budd-Chiari syndrome, hepatic hydrothorax, and portal vein thrombosis.One of the key steps during TIPS is the portal vein puncture.展开更多
Introduction The Transjugular Intra-hepatic Porto-Systemic Shunt(TIPS)was introduced in the early 1990's by Josef Rosch.It rapidly gained popularity in the US where at that time we were performing many per week.Or...Introduction The Transjugular Intra-hepatic Porto-Systemic Shunt(TIPS)was introduced in the early 1990's by Josef Rosch.It rapidly gained popularity in the US where at that time we were performing many per week.Originally,it was utilized to treat variceal hemorrhage with good results but,over time, endoscopic banding procedures have become better and the shunt has fallen into relative disfavor due to its higher than expected closure rate.In the ensuing fifteen years,there have been many changes in the approach to the treatment of portal hypertension and more specific role for this specialized procedure.展开更多
基金supported by President fund of Qingdao Municipal Hospital(ZYZJJ2017116)
文摘To the Editor:Transjugularintrahepaticportosystemicshunt(TIPS)isusuallyconsideredthechoiceformanagingcomplicationsofportal hypertensionsuchasrefractoryascites,esophagogastricvariceal bleedingandrecurrentbleedinguncontrolledwithfirstline treatment.Inrecentyears,TIPShasbeensuccessfullyusedto treat Budd-Chiari syndrome, hepatic hydrothorax, and portal vein thrombosis.One of the key steps during TIPS is the portal vein puncture.
文摘Introduction The Transjugular Intra-hepatic Porto-Systemic Shunt(TIPS)was introduced in the early 1990's by Josef Rosch.It rapidly gained popularity in the US where at that time we were performing many per week.Originally,it was utilized to treat variceal hemorrhage with good results but,over time, endoscopic banding procedures have become better and the shunt has fallen into relative disfavor due to its higher than expected closure rate.In the ensuing fifteen years,there have been many changes in the approach to the treatment of portal hypertension and more specific role for this specialized procedure.
