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Transjugular intrahepatic portosystemic shunt (TIPS)Definition Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure to treat complications of severe liver disease. Such complications include bleeding from the esophagus or stomach and the accumulation of fluid in the abdomen. The cause of these complications is high pressure in blood vessels of the liver called portal veins. The procedure involves inserting a stent (tube) to connect the portal veins to adjacent blood vessels that have lower pressure. This relieves the pressure of blood flowing through the diseased liver and can help stop bleeding and fluid back up. Description The procedure is typically performed by radiologists. Many patients receive a local anesthesia to numb a small area of the skin plus sedative and pain medications. In certain cases, general anesthesia may be used, where the patient goes to sleep. A needle is initially placed in the jugular vein in the right side of the neck to make a small hole. Needles and long, thin tubes called catheters can then be advanced down to the veins in the liver. A needle is inserted to make a connection between an adjacent vein and a branch of the portal vein. This channel is then expanded, and a tube called a stent is inserted to allow blood to flow more easily through the liver. This tube is left in place. Indications This procedure is used to treat complications of severe liver disease, when the patient has not responded to less invasive treatments (such as salt restriction in the diet and medications called diuretics to remove fluid). Risks At the time of the procedure, the risks include:
Because people with severe liver disease are also at risk for encephalopathy (deterioration of brain function), this is another common complication after the TIPS has been inserted and it may require treatment. A patient who has had significant encephalopathy may not be a good candidate for TIPS. Blockage of the TIPS occurs in most patients within the first year of placement of the TIPS. This may lead to recurrent bleeding or reaccumulation of fluid. If this occurs, the TIPS can be expanded, or a new TIPS may be created. Death has been reported after TIPS placement. The risk is associated with the complications listed above at the time of the procedure. In addition, deaths have been reported due to worsening liver failure that occurs in the days and weeks after TIPS placement. Patients with more advanced liver disease are at greater risk for worsening liver failure after TIPS placement.Expectations after surgery The patient is typically monitored after the procedure, as he or she wakes up from the anesthesia. An ultrasound is commonly performed the morning after the procedure to document that the TIPS is open and functioning well. Convalescence The main goal during the recovery period is to watch for signs of complications. Anesthesia helps prevent pain at the time of the procedure, and there is often little, if any, discomfort after the procedure. Page Content: TIPS ; tip on flirting; dating tip; sex tip; tip; golf tip; tip drill; runescape tip; make up tip; rune tip; barbecue tip; beauty tip; interview tip; weight loss tip; gardening tip; kissing tip; masturbation tip; pregnancy tip; tip trick; marketing tip; beauty sedu tip; q tip; travel tip; oral sex tip; car buying tip; tip it; poker tip; how to flirt tip; resume tip; job interview tip; skateboarding trick tip; moving tip; fishing tip; meeting girl tip; tip city; nelly tip drill; diet tip; baseball tip; romantic tip; bass fishing tip; hair sedu style tip; health tip; tip top screw manufacturing; cleaning tip; nail tip; black jack tip; exhaust tip; anorexic tip; eye make up tip; money saving tip; basketball tip; skateboard trick tip; dog training tip; safety tip; tip drill video; runescape tip it; resume writing tip; disney world tip; golfing tip; fashion tip; dating hint and tip; feng shui tip; skin care tip; tip top; bowling tip; anorexia tip; interviewing tip; relationship tip; harris tip; stock tip; golf swing tip; parenting tip; quit smoking tip; decorating tip; masturbating tip; watch nelly tip drill video uncut; camping tip; hair tip; sports betting tip; nelly tip drill video; free gambling tip; free golf tip; garden tip; fitness tip; cooking tip; window caulking tip; female masturbation tip; photography tip; american online tip wedding; potty training tip; running tip; tennis tip; skateboarding tip; painting tip; garage sale tip; tip drill uncensored; roulette tip; exercise tip; new car buying tip; sudoku tip; french kiss tip |
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