Preoperative Transjugular Intrahepatic Portosystemic Shunt Placement for Extrahepatic Abdominal Surgery

Michelle Philip, Bartley Thornburg*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Extrahepatic abdominal surgery in patients with portal hypertension is associated with a high rate of perioperative complications and death due to the increased risk of liver failure, perioperative bleeding, and ascites. One proposed method to facilitate surgery in these patients is with preoperative placement of a transjugular intrahepatic portosystemic shunt (TIPS). By decompressing the portal circulation, this presurgical measure would theoretically decrease the potential for bleeding and improve the ability to control ascites in the perioperative and postoperative period. This article reviews the use of TIPS prior to abdominal surgery in patients with portal hypertension.

Original languageEnglish (US)
Pages (from-to)203-205
Number of pages3
JournalSeminars in Interventional Radiology
Volume35
Issue number3
DOIs
StatePublished - 2018

Keywords

  • TIPS
  • abdominal surgery
  • portal hypertension

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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