Preferred Label : transjugular intrahepatic portal-systemic shunt;
RADLEX synonyms : TIPSS; TIPS;
Definition : A type of surgical portasystemic shunt to reduce portal hypertension with associated
complications of esophageal varices and ascites. It is performed percutaneously through
the jugular vein and involves the creation of an intrahepatic shunt between the hepatic
vein and portal vein. The channel is maintained by a metallic stent. The procedure
can be performed in patients who have failed sclerotherapy and is an additional option
to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes
one to three hours to perform. (jama 1995;273(23):1824-30) [MeSH];
UMLS CUI (RADLEX) : C0339897;
Origin ID : RID1595;
Automatic exact mappings (from CISMeF team)
LOINC exact mapping
A type of surgical portasystemic shunt to reduce portal hypertension with associated
complications of esophageal varices and ascites. It is performed percutaneously through
the jugular vein and involves the creation of an intrahepatic shunt between the hepatic
vein and portal vein. The channel is maintained by a metallic stent. The procedure
can be performed in patients who have failed sclerotherapy and is an additional option
to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes
one to three hours to perform. (jama 1995;273(23):1824-30) [MeSH]