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  • Title: TIPS: a new therapy for esophageal variceal bleeding caused by EHBA.
    Author: Schweizer P, Brambs HJ, Schweizer M, Astfalk W.
    Journal: Eur J Pediatr Surg; 1995 Aug; 5(4):211-5. PubMed ID: 7577858.
    Abstract:
    Clinical and procedural experience using transjugylar intrahepatic portosystemic shunt (TIPS) on 7 children with recurrent hemorrhage of esophageal varices is reported. Recurrent hemorrhage from esophageal varices following repeated paravasal sclerosing of the varices as well as severe-grade hypersplenism are proposed as the indication for its use. The technical details of TIPS, observed and possible early and late complications, the demand for a decrease in the portosystemic pressure gradient to less than 15 mmHg and the influence of TIPS on improvement of the varices, hypersplenism and the frequently observed malabsorption are described.
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