Advances in transjugular intrahepatic portosystemic shunt and its application in treatment of cirrhotic portal hypertension / 临床肝胆病杂志

ABSTRACT

In recent years, with the development in basic research and clinical application, the success rate of transjugular intrahepatic portosystemic shunt (TIPS) has been increased significantly, and stent restenosis rate and the incidence of postoperative hepatic encephalopathy have been controlled. With reference to the authors′ clinical practice and hot topics of conferences at home and abroad, this article introduces the advances in TIPS-related techniques and their application in liver cirrhosis, including TIPS puncture technique, TIPS stent, TIPS-related hepatic encephalopathy and its prevention and treatment, TIPS indications and contraindications, the issues solved by TIPS in liver cirrhosis, and the advantages and disadvantages of TIPS in the treatment of esophagogastric variceal bleeding compared with other therapeutic methods, in order to make contributions to the development of TIPS and bring more benefits to patients with liver cirrhosis.