Question 55 · LEK · Cirrhosis

The indications for the creation of transjugular intrahepatic portosystemic shunt (TIPS) in the course of liver cirrhosis do not include:

1) hepatic encephalopathy;
2) recurrent bleeding from esophageal varices or the gastric fundus;
3) recurrent ascites;
4) type 2 hepatorenal syndrome with refractory ascites;
5) type 1 hepatorenal syndrome.
The correct answer is:
  1. A. 1,2.
  2. B. 2,3.
  3. C. 1,5.
  4. D. 3,4.
  5. E. only 1.
Hint

TIPS diverts portal blood away from the liver: consider which complications it treats and which it would worsen or not help.

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