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transjugular intrahepatic portosystemic shunt การใช้

ประโยคมือถือ
  • Transjugular intrahepatic portosystemic shunts are typically placed by an interventional radiologist under shunt's placement.
  • Hepatic encephalopathy may also occur after the creation of a transjugular intrahepatic portosystemic shunt ( TIPS ).
  • Insertion of a transjugular intrahepatic portosystemic shunt ( TIPS ) has been shown to alleviate varices caused by portal hypertension.
  • Methods of treating the portal hypertension include : transjugular intrahepatic portosystemic shunt, or a distal splenorenal shunt procedure or a liver transplantation.
  • Transjugular intrahepatic portosystemic shunt procedures, or TIPS involve decompressing the portal vein by shunting a portal venule to a lower pressure systemic venule, under guidance with fluoroscopy.
  • In clinical practice the pressure is not measured directly until the decision to take a liver biopsy for suspected cirrhosis ( chronic liver failure ), or to place a transjugular intrahepatic portosystemic shunt has been made.
  • The modified Sugiura procedure is indicated in patients with well-preserved liver function ( Child-Pugh class A or B without chronic ascites ) and who are not candidates for transjugular intrahepatic portosystemic shunt, distal splenorenal shunt, or liver transplantation
  • Other liver-related complications ( portal hypertension, esophageal varices, ascites, hepatic encephalopathy ) are treated with the same modalities as used in cirrhosis, although the use of transjugular intrahepatic portosystemic shunt treatment is discouraged due to the lack of documented benefit.
  • Treatment of gastric varices can include injection of the varices with cyanoacrylate glue, or a radiological procedure to decrease the pressure in the portal vein, termed transjugular intrahepatic portosystemic shunt or TIPS . Treatment with intravenous octreotide is also useful to shunt blood flow away from the stomach's circulation.
  • While awaiting transplantation, people with HRS often receive other treatments that improve the abnormalities in blood vessel tone, including supportive care with medications, or the insertion of a transjugular intrahepatic portosystemic shunt ( TIPS ), which is a small shunt placed to reduce blood pressure in the portal vein.