Placement of transjugular intrahepatic portosystemic shunt
via the left hepatic vein under sonographic guidance in a patient with right hemihepatectomy.
Loose, "Enhancing transjugular intrahepatic portosystemic shunt
puncture by using three-dimensional path planning based on the back projection of two two-dimensional portographs," Radiology, vol.
Ganguli, "Reduction in portal venous pressure by transjugular intrahepatic portosystemic shunt
for treatment of hemorrhagic stomal varices," American Journal of Roentgenology, vol.
Intrahepatic portosystemic shunts
are rare vascular abnormalities that may incidentally be detected in asymptomatic patients.
Portopulmonary hypertension secondary to congenital extrahepatic portosystemic shunt
with heterotaxy and polysplenia: A cause of sudden death in an infant.
Damiano et al., "Neoadjuvant transjugular intrahepatic portosystemic shunt
: a solution for extrahepatic abdominal operation in cirrhotic patients with severe portal hypertension," Journal of the American College of Surgeons, vol.
Head pressing can be a sign of a liver shunt, also called portosystemic shunt
. A liver shunt is a blood vessel that bypasses the liver and prevents blood from being detoxified.
The patient had an extensive and complex medical history that included non-Hodgkin's lymphoma, now in remission; an illness diagnosed by some as POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, circulating M protein, and skin changes) and by other physicians as Waldenstrom's macroglobulinemia; hepatic cirrhosis with a TIPS procedure (transjugular intrahepatic portosystemic shunt
), a TIPS revision, and at least one episode of hepatic encephalopathy; systemic arterial hypertension; diabetes mellitus; and mild chronic renal insufficiency.
Endoscopic band ligations were done in oesophageal variceal patients who were successfully managed, while 5(20%) patients required portosystemic shunt
(8) Transjugular intrahepatic portosystemic shunt
(TIPS), selective embolization, or surgical shunt solutions should be considered in cases of recurrent bleeding varices.
Bleeding gastric varices should be treated with octreotide and balloon tamponade followed with either a transjugular intrahepatic portosystemic shunt
 When biliary intervention is required, it is generally recommended that a portosystemic shunt
(PSS) be performed before the hepaticojejunostomy to avoid the risk of major haemorrhage from the abundant network of venous collaterals around the common bile duct.