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[TIPS--transjugular intrahepatic portosystemic shunt. Experiences from a recently started center]
Lone Bording Astrup1, Henning Grønbaek, Søren Redsted
1Arhus Universitetshospital, Arhus Kommunehospital, medicinsk afdeling V og radiologisk afdeling R.
Abstract:
The transjugular intrahepatic portosystemic shunt (TIPS) is a percutaneous, minimally invasive, method of creating a portosystemic shunt for the treatment of portal hypertension. The results of the first 54 TIPS procedures are reported. There were no severe procedure-related complications. TIPS implantation was successful in 52 patients. Rebleeding was seen in 13% of the patients. Hepatic encephalopathy developed in 19%, but only in 11% as a chronic complication. Seven out of 9 patients with refractory ascites no longer required paracentesis after six months. The cumulative survival for the whole group was 81% after one year and 62% after three years.