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World J Gastroenterol. Oct 7, 2013; 19(37): 6131-6143
Published online Oct 7, 2013. doi: 10.3748/wjg.v19.i37.6131
Published online Oct 7, 2013. doi: 10.3748/wjg.v19.i37.6131
Transjugular intrahepatic portosystemic shunt for the management of acute variceal hemorrhage
Romaric Loffroy, Louis Estivalet, Violaine Cherblanc, Sylvain Favelier, Pierre Pottecher, Pierre Thouant, Pierre-Henri Lefevre, Denis Krausé, Jean-Pierre Cercueil, Department of Vascular, Oncologic and Interventional Radiology, University of Dijon School of Medicine, Bocage Teaching Hospital, 21079 Dijon, France
Samia Hamza, Anne Minello, Patrick Hillon, Department of Intensive Care Medicine, Gastroenterology and Hepatology, University of Dijon School of Medicine, Bocage Teaching Hospital, 21079 Dijon, France
Author contributions: Loffroy R, Estivalet L, and Cherblanc V wrote the paper; Favelier S, Pottecher P, Hamza S, Minello A, Hillon P, Thouant P, Lefevre PH, Krausé D, and Cercueil JP revised the article for important intellectual content; all authors read and approved the final manuscript.
Correspondence to: Romaric Loffroy, MD, PhD, Professor, Department of Vascular, Oncologic and Interventional Radiology, University of Dijon School of Medicine, Bocage Teaching Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon Cedex, France. romaric.loffroy@chu-dijon.fr
Telephone: +33-380-293677 Fax: +33-380-295455
Received: July 12, 2013
Revised: August 13, 2013
Accepted: August 20, 2013
Published online: October 7, 2013
Revised: August 13, 2013
Accepted: August 20, 2013
Published online: October 7, 2013
Core Tip
Core tip: The transjugular intrahepatic portosystemic shunts (TIPS) is a highly effective treatment for bleeding esophageal and gastric varices with control of the bleeding in over 90% of the patients. Many papers have been published in the last decade that led to technical improvements and definition of the best indications for this promising treatment of complications of portal hypertension. The purpose of this article is to describe the different treatment options for patients with refractory esophageal and gastric varices bleeding and the role of TIPS as a rescue therapy. Technical aspects of this procedure and the current indications are also discussed.