{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T10:39:48Z","timestamp":1787827188217,"version":"build-2784847793"},"reference-count":128,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Der transjugul\u00e4re intrahepatische portosystemische Shunt (TIPS) wird seit 30 Jahren in der Therapie der portalen Hypertonie erfolgreich eingesetzt. In nationalen und internationalen Leitlinien ist die Indikation zur TIPS-Anlage bei Varizenblutung und refrakt\u00e4rem Aszites wissenschaftlich gut belegt und klar definiert. Bei seltenen Indikationen wie dem hepatorenalen Syndrom, der Pfortaderthrombose oder dem neoadjuvanten Einsatz fehlt derzeit noch eine eindeutige Studienlage. Eine wichtige Kontraindikation und klinisch bedeutendste Komplikation nach TIPS ist die hepatische Enzephalopathie (HE). Es wird versucht, die Post-TIPS HE mit technischen Weiterentwicklungen der Stents zu reduzieren.<\/jats:p>","DOI":"10.1055\/a-1217-7866","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T22:42:50Z","timestamp":1600468970000},"page":"877-889","source":"Crossref","is-referenced-by-count":7,"title":["30 Jahre transjugul\u00e4rer intrahepatischer portosystemischer Shunt\u00a0(TIPS) \u2013 R\u00fcckblick und Perspektive"],"prefix":"10.1055","volume":"58","author":[{"given":"Michael","family":"Schulthei\u00df","sequence":"additional","affiliation":[{"name":"Department Innere Medizin, Klinik f\u00fcr Innere Medizin II, Gastroenterologie, Hepatologie, Endokrinologie und Infektiologie, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Bettinger","sequence":"additional","affiliation":[{"name":"Department Innere Medizin, Klinik f\u00fcr Innere Medizin II, Gastroenterologie, Hepatologie, Endokrinologie und Infektiologie, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Thimme","sequence":"additional","affiliation":[{"name":"Department Innere Medizin, Klinik f\u00fcr Innere Medizin II, Gastroenterologie, Hepatologie, Endokrinologie und Infektiologie, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"R\u00f6ssle","sequence":"additional","affiliation":[{"name":"Department Innere Medizin, Klinik f\u00fcr Innere Medizin II, Gastroenterologie, Hepatologie, Endokrinologie und Infektiologie, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,9,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/0002-9610(71)90147-4","article-title":"Transjugular intrahepatic portocaval shunt","volume":"121","author":"J R\u00f6sch","year":"1971","journal-title":"Am J Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1148\/92.5.1112","article-title":"Transjugular Portal Venography and Radiologic Portacaval Shunt: An Experimental Study","volume":"92","author":"J R\u00f6sch","year":"1969","journal-title":"Radiology"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1148\/130.2.507","article-title":"Production of Nonsurgical Portosystemic Venous Shunts in Dogs by Transjugular Approach","volume":"130","author":"O H BF Gutierrez","year":"1979","journal-title":"Radiology"},{"key":"ref4","first-page":"267","article-title":"Creation of an intrahepatic portosystemic shunt with a Grilntzig balloon catheter","volume":"126","author":"R F Colapinto","year":"1982","journal-title":"Can Med Assoc J"},{"key":"ref5","first-page":"45","article-title":"Transjugular intrahepatic portosystemic shunt: a nonoperative approach to life-threatening variceal bleeding","volume":"30","author":"J D Gordon","year":"1987","journal-title":"Can J Surg"},{"key":"ref6","first-page":"1251","article-title":"Expandable Intrahepatic Portacaval Shunt Stents in Dogs with Chronic Portal Hypertension","volume":"147","author":"J Palmaz","year":"1986","journal-title":"Am J Radiol"},{"key":"ref7","first-page":"560","article-title":"Intraluminal Palmaz stent implantation. 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