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Transjugular intrahepatic portosystemic shunt

uses a stent placed in veins in the middle of the liver to keep open a passage connecting the hepatic and portal veins. This helps reroute blood around the scarred liver. In the procedure, a long needle is inserted into the jugular vein in the neck and passed down to the hepatic and portal veins. TIPS is used for patients with ascites unresponsive to treatment and those who may require a liver transplant. In general, TIPS should be a second-line option for ascites that does not respond to diuretics.


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