ABSTRACT
Transjugular intrahepatic protosystemic shunt (TIPS) is a widely accepted technique
for the treatment of gastrointestinal bleeding in cirrhotic patients with portal hypertension.
Other indications are the refactory ascites and Budd-Chiari syndrome. This technique,
however, is not free of complications with clinical consequences. Faulty patient selection,
poor operative technique and recurrent stenosis are the commonest impediments for
a successful outcome. This article updates the TIPS procedure with a review of the
literature and a description of the authors' experience in performing this technique.
KEYWORD
TIPS - metal stents - portal hypertension
