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Doctor insights on: Transjugular Intrahepatic Portosystemic Shunt

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Dr. Sari Nabulsi
473 doctors shared insights

Transjugular Intrahepatic Portosystemic Shunt (Overview)

Transjugular intrahepatic portosystemic shunt or (tips) is a shunt (tube) placed between the portal vein which carries blood from the intestines and intraabdominal organs to the liver and the hepatic vein which carries blood from the liver back to the vena cava and the heart. It is used primarily (but not exclusively) in patients with cirrhosis.


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What is the definition or description of: transjugular intrahepatic portosystemic shunt?

What is the definition or description of: transjugular intrahepatic portosystemic shunt?

See below: Transjugular intrahepatic portosystemic shunt or (tips) is a shunt (tube) placed between the portal vein which carries blood from the intestines and intraabdominal organs to the liver and the hepatic vein which carries blood from the liver back to the vena cava and the heart. It is used primarily (but not exclusively) in patients with cirrhosis. ...Read more

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Dr. Sari Nabulsi
473 doctors shared insights

Transjugular Intrahepatic Portosystemic Shunt (Overview)

Transjugular intrahepatic portosystemic shunt or (tips) is a shunt (tube) placed between the portal vein which carries blood from the intestines and intraabdominal organs to the liver and the hepatic vein which carries blood from the liver back to the vena cava and the heart. It is used primarily (but not exclusively) in patients with cirrhosis.


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Which are more effective in your opinion: transjugular intrahepatic portosystemic shunt(tips) vs tranditional portal systemic shunt?

Both: Both are effective. The benefit of TIPS is that it is done fairly noninvasively - with a traditional portocaval shunt the operation is bigger. Most have now gone away from doing surgical shunts in favor of the TIPS procedure. TIPS can be very effective in treating ascites (fluid) and varices (dilated veins in the esophagus). ...Read more

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Minimal dilatation of the left sided intrahepatic ducts. A thin silver of fluid is seen around the liver. Please advice what it means? Is this Normal?

Minimal dilatation of the left sided intrahepatic ducts. A thin silver of fluid is seen around the liver. Please advice what it means? Is this Normal?

Radiologist: In situations like this your physician should sit down with the radiologist who interpreted your study and get an impression of what possibilities the findings suggest and whether further imaging studies or repeat study in the future is recommended. This is truly a matter for a radiological specialist and a referral to a gastroenterologist may be recommended also. ...Read more

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Are there prognostic factors that are important for resected intrahepatic cholangiocarcinoma?

Are there prognostic factors that are important for resected intrahepatic cholangiocarcinoma?

Several: Prognosis would depend on a number of factors, including whether the cholangiocarcinoma is associated with primary sclerosing cholangitis, the location of the cancer, the, stage of the cancer at diagnosis (e.g. If it has invaded the blood vessels or has been found in the lymph nodes or has spread elsewhere), and whether or not it was possible to remove the entire tumor. ...Read more

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What is the intrahepatic biliary radicles are not dilated?

What is the intrahepatic biliary radicles are not dilated?

That is normal: Intrahepatic bile ducts are small ducts within the liver that collect bile from the liver cells and transport it into increasingly larger bile ductules that coalesce into a single bile duct, the common bile duct. Normally by ultrasound or body scans, only the larger bile ducts can be seen. If the intrahepatic bile ducts are dilated, it means there is a blockage downstream, which is abnormal. ...Read more

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My father is 66 years of age and he is diagnosed intrahepatic cholangiocarcinoma. What does this mean?

My father is 66 years of age and he is diagnosed intrahepatic cholangiocarcinoma. What does this mean?

Cholangiocarcinoma: This is a form of cancer, which while treatable may not be curable. Ask his doctor to discuss the disease with you. He may not want to break privacy and discuss your father with you, but the disease itself should not be a problem for them to explain. ...Read more

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Why is it more common for east asians to have intrahepatic calculi, as opposed to other people? Dietary differences, racial differences?

Why is it more common for east asians to have intrahepatic calculi, as opposed to other people?  Dietary differences, racial differences?

nobody really knows: There are several theories, including racial/genetic susceptibility, nutritional factors and concurrent infections with either bacteria or parasites, particularly ascariasis (a roundworm). They are also common in brazil, again for unknown reasons. ...Read more

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What is the prognosis of intrahepatic cholangiocarcinoma when a liver resection is performed and stage 2?

What is the prognosis of intrahepatic cholangiocarcinoma when a liver resection is performed and stage 2?

Good: There are other factors involved in prognosis that depend on what the tumor looks like under the microscope. If the margin of resection was negative and the lymph nodes are negative, the prognosis is excellent at 5 years. ...Read more

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Do stones not show up on MRCP sometimes? Is it hard to see intrahepatic stones on MRCP? Should I have ERCP done since MRCP showed nothing?

Do stones not show up on MRCP sometimes?  Is it hard to see intrahepatic stones on MRCP?  Should I have ERCP done since MRCP showed nothing?

Intrahepatic stones.: The answer mostly depends on why your doctor feels there may be Intrahepatic stones and what kind of symptoms you are having. If asymptomatic, the better answer may be to not do anything. An ERCP may show stones better than an MRCP, but the ERCP is not without the risk of potentially bad complications. Your G.I. doctor can help you balance these considerations. Good luck. ...Read more

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Is intrahepatic cholestasis of pregnancy painful?

Is intrahepatic cholestasis of pregnancy painful?

NO: Cholestasis of pregnancy does not generally cause pain. The most common symptoms is pruritis (itching). It almost always starts with itching on the palms of the hands and soles of the feet, and it is first noticed at night. The itching spreads to other parts of the body over time. Treatment with ursodiol (bile salts) can improve symptoms. Consultation with a high risk OB is recommended. ...Read more

Shunt (Definition)

Device that allows the flow of usually a fluid between two places. Sometimes a shunt may be used during carotid endarterectomy surgery to maintain the blood flow to the brain while the carotid artery ...Read more