Lipopolysaccharide (LPS) and endothelin- (ET-) 1 may aggravate portal hypertension by increasing intrahepatic resistance and splanchnic blood flow. In the portal vein, after TIPS shunting, LPS and ET-1 were significantly decreased. Our study suggests that TIPS can benefit cirrhotic patients not only in high hemodynamics related variceal bleeding but also in intestinal bacterial translocation associated complications such as endotoxemia.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753051PMC
http://dx.doi.org/10.1155/2016/8341030DOI Listing

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J Clin Med

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