Transjugular Intrahepatic Portosystemic Shunt

WHAT YOU SHOULD KNOW:

A transjugular intrahepatic portosystemic shunt (TIPS) is a channel that is made inside your liver to increase blood flow. This shunt reduces swelling in your abdomen, and portal hypertension. Portal hypertension is high blood pressure in the vein that carries blood to your liver. It is caused by scar tissue in your damaged liver that will not allow the blood to flow through it. TIPS may reduce blood pressure near your liver, or stop bleeding in your esophagus. TIPS may also reduce fluid buildup in your abdomen.

AFTER YOU LEAVE:

Medicines:

Take your medicine as directed. Contact your primary healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are taking any vitamins, herbs, or other medicines. Keep a list of the medicines you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Keep a copy of the list with you in case of emergency.

Follow up with your primary healthcare provider or specialist as directed:

You will need tests every year to check for bleeding and for how well the stent is working. Your veins will need to be checked for blockages. You will need to be tested for liver failure. You may also need to see a dermatologist (skin doctor) if you have any skin sores from radiation. Ask your dermatologist or primary healthcare provider how to manage and treat pain, wounds, or skin infections caused by radiation. Write down your questions so you remember to ask them during your visits.

Contact your primary healthcare provider or specialist if:

  • You have dry skin, redness, sores, or bleeding areas.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You have yellow skin or in the whites of your eyes.

  • You have a fever, or extreme fatigue (tiredness).

  • You have swelling in your abdomen.

  • You have bleeding in your throat, or you are coughing up blood.

  • You have pain in your abdomen.

  • You have blood in your urine.

  • You have chest pain, a cough, or trouble breathing.

  • You have confusion or personality changes.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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