Trans-jugular intrahepatic portosystemic shunt (TIPS) is a procedure used to treat the portal hypertension caused by cirrhosis. An interventional radiologist uses X rays (fluoroscopy) to place a small tube (stent) in the liver. This stent provides a bypass channel for blood to flow freely through the scarred (cirrhotic) liver. The free flow of blood reduces the blood pressure in the portal vein. Once the blood pressure normalises, ascites (fluid in abdomen) and also variceal bleedings is controlled.

DIPS is technically a variation of TIPS. DIPS is used for patients suffering from Budd Chiari syndrome. The stent directly connects to the portal vein to the IVC.

TIPS and DIPS also act as a bridge to liver transplant. They provide time till a suitable donor becomes available.


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