Transjugular intrahepatic portosystemic shunt in the management of variceal bleeding: indications and clinical results.

Abstract

TIPS successfully controls variceal bleeding and may serve as a novel approach to control of diuretic resistant ascites. The uncertain long-term patency and progressive decline in synthetic function emphasize the importance of initiating proper trials comparing TIPS with other management strategies before indiscriminant use of this technique is seen.