EC Microbiology

Introduction: When there is an increase in the pressure in the portal vein the blood flow to the liver gets blocked. This is known as portal hypertension. Trans jugular Intrahepatic Portosystemic shunts (TIPS) is a noninvasive procedure used universally that can manage portal hypertension. It uses imaging guidance and is usually performed by an interventional radiologist. TIPS help in lowering the hepatic sinusoidal pressure and increasing the circulatory flow which diverts the blood flow from the portal venous system to the systemic circulation. TIPS also help in decreasing the sodium retention, recurrence of ascites and variceal bleeding. An improvement in the mortality rates and reduction in the risk of rebleeding is also seen. TIPS show an overall improvement in technical, clinical and hemodynamic aspects.

The aim of work:

Methodology: The review is comprehensive research of PUBMED from the year 1969 to 2018.

Conclusion: Due to the significant technological advances that has happened in TIPS, it has been gaining popularity among patients as a safe and successful approach. The results are showing a gradual overall improvement with reduction in restenosis -the main complication of the procedure Even though TIPS remain to be a complicated procedure to perform, evolving technique expertise can make the procedure easier and more widespread in the near future.

Keywords: TIPS; Portal Hypertension; Porto-Systemic Shunt; Transhepatic

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