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Post-TIPS Encephalopathy: Clinical Presentation, Diagnosis, and Management
Doo Hee Kim1, Hassan Anbari2, Sameer Gadani3
1Department of Radiology, MedStar Georgetown University Hospital, Washington, DC.
Abstract:
Management of portal hypertension commonly involves the creation of a transjugular intrahepatic portosystemic shunt (TIPS). Despite significant advancement in procedural techniques, hepatic encephalopathy (HE) continues to be one of the most consequential complications following TIPS creation. In this manuscript, we describe in detail several factors associated with the clinical condition of patients and TIPS creation that increase the likelihood of post TIPS development of hepatic encephalopathy. We also discuss the management of the post-TIPS encephalopathic patient.
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