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Transjugular Intrahepatic Portosystemic Shunt
WHAT YOU NEED TO 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.
Take your medicine as directed. Contact your 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 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 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 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.
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