TIPSS?: Patients with refractory ascites (maximum diuretic doses not sufficient to control ascites or unacceptable adverse effects/complications with diuretic therapy) can be managed with large-volume paracentesis (lvp) and Albumin replacement or transjugular intrahepatic portosystemic shunt (tipss) placement. Although tipss has been shown to be more effective than lvp and alb. Gives more encephalopathy.
Answered 6/24/2014
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Lower portal press: Portal vein bypass is a means of treating high blood pressure in the portal vein system. This often happens b/c of cirrhosis of the liver. Portal vein hypertension can result in severe bleeding from the esophagus. Decreasing the pressure can treat this. It doesn't fix the liver failure historically this was a open surg procedure with significant risks. Often now this is done by radiology (tips).
Answered 3/14/2019
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