Talk:Transjugular intrahepatic portosystemic shunt

Diastolic dysfunction predicts mortality

doi:10.1136/gut.2006.102467 diastolic dysfunction predicts mortality. JFW | T@lk 10:24, 27 May 2007 (UTC)

Just a quick wondering

I thought the abbreviation for this was a TIPSS or a TIPS stent? Heather 12:07, 7 April 2008 (UTC)Glitzy_queen00

It is not technically a stent. TIPS or TIPSS are used, depending if you add an "S" for "systemic". JFW | T@lk 12:46, 7 April 2008 (UTC)

Actually, it's either Transjugular Intrahepatic Portosystemic Shunt (TIPS) or ..Stented Shunt (TIPSS). Since all TIPS' have been stented since Colapinto's, it's a bit silly to draw a distinction. They're really ALL TIPSS, but that confuses people. TIPS is not technically correct, but it's better than TIPPS, which people often use by mistake. —Preceding unsigned comment added by 207.225.232.131 (talk) 22:48, 10 May 2011 (UTC)

HE and TIPSS

Hepatic encephalopathy is common after TIPSS, but apparently responds well to treatment: doi:10.1093/qjmed/hcn037 JFW | T@lk 14:43, 11 June 2008 (UTC)

"Common" may be overstated in the comment above. Also note: the second reference is a dead page. I removed the third link as broken. Art4med (talk) 01:43, 9 January 2012 (UTC)

Guideline

doi:10.1002/hep.23383 American 2009 guideline. JFW | T@lk 14:05, 25 December 2009 (UTC)

long term survival?

The literature, and information I get where I work, gives overall impression that this article needs more emphasis on 1 year survival after this procedure and the issue that many doctors will avoid performing it on many patients because of the strain it places on the heart. Putting these together, it is performed on younger people with strong hearts and these people do not have terribly optimistic outcome one year after procedure. One is essentially bypassing the liver. How long does one survive like this and how many of these people receive, or even qualify for, a liver transplant? Many hospitals have abandoned it, why? Many things I would like to see in this article, like the number of younger people getting TIPSS and how little alcohol was needed to get them there, what happens to them and why this is so silent in the media. Really hoping a hepatologist working with this, who actually digs into what became of his/her patients, will step in and do the writing. In its present form, this article gives impression one simply walks in, gets a TIPSS, and lives on happily ever after drinking every day. This is not the case. — Preceding unsigned comment added by 79.102.60.65 (talk) 19:59, 1 February 2014 (UTC)