{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T16:40:15Z","timestamp":1727541615383},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1995,9,1]],"date-time":"1995-09-01T00:00:00Z","timestamp":809913600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The transjugular intrahepatic portasystemic stent-shunt (TIPSS) is a side-to-side portocaval shunt, performed by interventional radiological methods, linking the hepatic and portal veins through the liver parenchyma with an expandable metal stent. The technique can be performed successfully in over 90 per cent of patients. The procedure-related mortality rate is about 1 per cent, mainly from intraperitoneal bleeding. The main indications for TIPSS insertion are control of acute variceal bleeding in patients with cirrhosis that is refractory to sclerotherapy and recurrent variceal haemorrhage despite sclerotherapy or band ligation. TIPSS insertion is followed by variceal rebleeding in about 10\u201320 per cent of cases, encephalopathy in 10\u201320 per cent, transient deterioration of liver function in 25\u201335 per cent and subsequent shunt dysfunction over a 6\u201312-month period in 15\u201360 per cent. The final place of TIPSS insertion in the management of portal hypertension is being evaluated in controlled studies, but its use in the treatment of uncontrolled variceal haemorrhage seems assured.<\/jats:p>","DOI":"10.1002\/bjs.1800820905","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T23:00:08Z","timestamp":1172962808000},"page":"1158-1164","source":"Crossref","is-referenced-by-count":16,"title":["Transjugular intrahepatic portasystemic stent\u2014shunt in the treatment of variceal haemorrhage"],"prefix":"10.1093","volume":"82","author":[{"given":"R","family":"Jalan","sequence":"first","affiliation":[{"name":"Centre for Liver and Digestive Disorders, Department of Medicine, The Royal Infirmary , Edinburgh,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D N","family":"Redhead","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Royal Infirmary , Edinburgh,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P C","family":"Hayes","sequence":"additional","affiliation":[{"name":"Centre for Liver and Digestive Disorders, Department of Medicine, The Royal Infirmary , Edinburgh,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1995,9,1]]},"reference":[{"key":"2024092815593590600_bib1","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1148\/92.5.1112","article-title":"Transjugular portal venography and radiological portacaval shunt: an experimental study","volume":"92","author":"R\u00f6sch","year":"1969","journal-title":"Radiology"},{"key":"2024092815593590600_bib2","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/0002-9610(71)90147-4","article-title":"Transjugular intrahepatic portocaval shunt: an experimental work","volume":"121","author":"R\u00f6sch","year":"1971","journal-title":"Am J Surg"},{"key":"2024092815593590600_bib3","doi-asserted-by":"crossref","first-page":"709","DOI":"10.2214\/ajr.140.4.709","article-title":"Formation of an intrahepatic portasystemic shunt using a balloon dilatation catheter: preliminary clinical experience","volume":"140","author":"Colapinto","year":"1983","journal-title":"AJR Am J Roentgenol"},{"key":"2024092815593590600_bib4","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.2214\/ajr.147.6.1251","article-title":"Expandable intrahepatic portasystemic shunt stents in dogs with chronic portal hypertension","volume":"147","author":"Palmaz","year":"1986","journal-title":"AJR Am J Roentgenol"},{"key":"2024092815593590600_bib5","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1007\/BF02575474","article-title":"The transjugular intrahepatic portosystemic stent-shunt (TIPS): results of a pilot study","volume":"13","author":"Richter","year":"1990","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2024092815593590600_bib6","first-page":"233","volume-title":"Clinics in Gastroenterology","author":"Franco","year":"1985"},{"key":"2024092815593590600_bib7","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/00000658-198605000-00002","article-title":"Distal splenorenal shunt versus endoscopic sclerotherapy for long-term management of variceal bleeding. 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