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TIPS in Variceal Bleeding: New and Old Indications

  • Portal Hypertension (JC Garcia-Pagán, Section editor)
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Abstract

Variceal bleeding is one of the most dreaded complications of cirrhosis and its occurrence is associated with significant morbidity and mortality. During the past 30 years preventative therapies have reduced the risk of the first variceal bleed. Once variceal bleeding occurs use of pharmacologic and endoscopic therapies prevent rebleeding in most patients. The existing recommendations are that TIPS only be used in those patients who fail medical therapy. We reviewed recent literature focusing on the role of early TIPS in management of acute variceal hemorrhage and prevention of re-bleeding.

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Conflict of Interest

Shahid Habib reports no conflict of interest.

Thomas D. Boyer is a paid consultant for Gore Medical.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the authors.

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Authors and Affiliations

  1. Department of Medicine, Liver Research Institute, University of Arizona, AHSC suite 6309, 1501N Campbell Avenue, Tucson, AZ, 85724, USA

    Shahid Habib & Thomas D. Boyer

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  1. Shahid Habib
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Correspondence to Thomas D. Boyer.

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Habib, S., Boyer, T.D. TIPS in Variceal Bleeding: New and Old Indications. Curr Hepatology Rep 13, 218–223 (2014). https://doi.org/10.1007/s11901-014-0223-9

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