|Other encyclopedia topics:||A-Ag Ah-Ap Aq-Az B-Bk Bl-Bz C-Cg Ch-Co Cp-Cz D-Di Dj-Dz E-Ep Eq-Ez F G H-Hf Hg-Hz I-In Io-Iz J K L-Ln Lo-Lz M-Mf Mg-Mz N O P-Pl Pm-Pz Q R S-Sh Si-Sp Sq-Sz T-Tn To-Tz U V W X Y Z 0-9|
|Contents of this page:|
Definition Return to top
Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure to create new connections between two blood vessels in your liver. You may need this procedure if you have very bad liver problems.
Description Return to top
This is not surgery. It is done by a radiologist using x-ray. A radiologist is a doctor who uses imaging techniques to diagnose and treat diseases.
You will probably receive local anesthesia and medicine to relax you. This will make you pain free and sleepy. Or you may have general anesthesia (asleep and pain free).
Your radiologist will insert a catheter (a flexible tube) through your skin into a vein in your neck.
This new pathway will allow blood to flow better. It will ease pressure on the veins of your stomach, esophagus, intestines, and liver.
Why the Procedure is Performed Return to top
Normally, blood coming from your esophagus, stomach, and intestines first flows through the liver. When your liver has a lot of damage, this blood cannot flow through it very easily. This is called portal hypertension (increased pressure and backup at the portal vein).
When this problem happens, you may have:
This procedure allows your blood to flow better in your liver, stomach, esophagus, and intestines, and then back to your heart.
Risks Return to top
Potential risks for this procedure are:
Rare risks are:
Before the Procedure Return to top
Your doctor may ask you to have these tests:
Always tell your doctor or nurse:
On the day of your surgery:
After the Procedure Return to top
After the procedure, you will recover in your hospital room. You will be monitored for bleeding. You will have to keep your head raised.
You will be able to go home when you feel better. This may be the day after surgery.
Many people get back to their everyday activities in 7 to 10 days.
Your doctor will probably do ultrasounds after surgery to make sure the stent is working correctly.
Outlook (Prognosis) Return to top
Your radiologist can tell you right away how well the procedure worked. Most patients recover well.
References Return to top
Rikkers LF. Surgical complications of cirrhosis and portal hypertension. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 53.Update Date: 1/30/2009 Updated by: Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.