Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

These guidelines on transjugular intrahepatic portosystemic stent-shunt (TIPSS) in the management of portal hypertension have been commissioned by the Clinical Services and Standards Committee (CSSC) of the British Society of Gastroenterology (BSG) under the auspices of the Liver Section of the BSG. The guidelines are new and have been produced in collaboration with the British Society of Interventional Radiology (BSIR) and British Association of the Study of the Liver (BASL). The guidelines development group comprises elected members of the BSG Liver Section, representation from BASL, a nursing representative and two patient representatives. The quality of evidence and grading of recommendations was appraised using the GRADE system. These guidelines are aimed at healthcare professionals considering referring a patient for a TIPSS. They comprise the following subheadings: indications; patient selection; procedural details; complications; and research agenda. They are not designed to address: the management of the underlying liver disease; the role of TIPSS in children; or complex technical and procedural aspects of TIPSS.

Original publication

DOI

10.1136/gutjnl-2019-320221

Type

Journal article

Journal

Gut

Publication Date

07/2020

Volume

69

Pages

1173 - 1192

Keywords

ascites, interventional radiology, oesophageal varices, portal hypertension, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Esophageal and Gastric Varices, Gastrointestinal Hemorrhage, Humans, Hypertension, Portal, Portasystemic Shunt, Transjugular Intrahepatic, Radiology, Interventional, Stents