Decision‐analysis of transjugular intrahepatic portosystemic shunt versus distal splenorenal shunt for portal hypertension
Steven L. Zacks, Robert S. Sandler, Andrea K. Biddle, Matthew A. Mauro, Robert S. Brown – 30 December 2003 – Transjugular intrahepatic portosystemic shunt (TIPS) and surgical distal splenorenal shunt (DSRS) are treatments for complications of portal hypertension. TIPS is widely used because it is relatively easy to place. Because TIPS may malfunction over time, it is unclear whether TIPS is superiorto DSRS in patients with Child's class A cirrhosis who enjoy a longer survival. This study compared the cost‐effectiveness of TIPS to DSRSfor portal hypertension in Child's class A cirrhosis.