Canadian Medical Guide > Analytical, Diagnostic and Therapeutic Techniques and Equipment > Surgical Procedures, Operative > Anastomosis, Surgical > Portasystemic Shunt, Surgical > Portasystemic Shunt, Transjugular Intrahepatic Terms and Definitions

Portasystemic Shunt, Transjugular Intrahepatic

Medical Definition:	A type of surgical portasystemic shunt to reduce portal hypertension with associated complications of esophageal varices and ascites. It is performed percutaneously through the jugular vein and involves the creation of an intrahepatic shunt between the hepatic vein and portal vein. The channel is maintained by a metallic stent. The procedure can be performed in patients who have failed sclerotherapy and is an additional option to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes one to three hours to perform. (JAMA 1995;273(23):1824-30)
Guide Notes:	do not use /util except by MeSH definition; DF: TIPS or TIPSS
Previously Indexed:	Portasystemic Shunt, Surgical (1987-1996)

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