Tips and Dips Procedure

Tips and Dips Procedure

Tips

Transjugular intrahepatic portosystemic shunt (TIPS)

A TIPS is a procedure that creates a shunt between the portal vein and the hepatic vein. This allows blood to bypass the liver, which can help to reduce portal hypertension. TIPS is typically used to treat complications of portal hypertension, such as esophageal varices (enlarged veins in the esophagus that can rupture and bleed) and ascites (fluid buildup in the abdomen).

TIPS is a minimally invasive procedure that is usually performed under sedation or general anesthesia. A small incision is made in the groin or arm, and a catheter is inserted into the vein. The catheter is then guided through the liver to the portal vein and hepatic vein. A stent is then inserted into the veins to create a shunt.

TIPS is a safe and effective procedure, but it does have some risks, such as:

  • Bleeding
  • Infection
  • Liver failure
  • Hepatic encephalopathy (a brain disorder caused by a buildup of toxins in the blood)

The risks of TIPS are usually outweighed by the benefits, and the procedure can be life-saving in patients with severe portal hypertension.

Direct intrahepatic portocaval shunt (DIPS)

A DIPS is a newer procedure that is similar to TIPS, but it creates a shunt between the portal vein and the inferior vena cava (IVC). This can be done in patients who are not candidates for TIPS, such as those with severe liver disease.

DIPS is a minimally invasive procedure that is usually performed under sedation or general anesthesia. A small incision is made in the groin or arm, and a catheter is inserted into the vein. The catheter is then guided through the liver to the portal vein and IVC. A stent is then inserted into the veins to create a shunt.