Table 1. Indications for TIPS related to variceal bleeding.
Indications | Role of TIPS |
---|---|
Secondary prophylaxis of variceal bleeding | Rescue therapya |
Acute variceal bleeding | Rescue therapya |
Portal hypertensive gastropathy | Rescue therapy |
Recurrent acute variceal bleeding | First-line therapya |
Abbreviations: HVPG, hepatic venous pressure gradient; TIPS, transjugular intrahepatic portosystemic shunt.
Note: Gastric varices might require variceal embolization.
Applies to esophageal and ectopic varices.