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Arq Gastroenterol
December 2001
Serviço de Gastroenterologia e Serviço de Radiologia do Departamento de Clínica Médica, Universidade Federal do Rio de Janeiro-UFRJ-Hospital Clementino Fraga Filho, Rio de Janeiro, RJ.
At the present time several therapeutic options are used for the treatment of bleeding esophageal varices in patients with portal hypertension. We will review the main medical publications on transjugular intrahepatic portosystemic shunt (TIPS), a procedure seldom used among us. TIPS works as a portocaval side-to-side shunt and decreases the risk of esophageal bleeding through lowering of the portal system pressure and a decrease of the portal hepatic pressure gradient.
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