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Question
Hello doctor,
I have a sister in Vietnam who is suffering from liver disease and has bleeding twice and has also had her arteries ligated twice. My sister's medical history has diabetes. So the doctor asked me if people with liver disease and diabetes can use TIPS? I thank the doctor and look forward to the response so that the family can save my sister.
Loan Nguyen (1965)
Answer
Answered by Master, Doctor Hoang Duc Nam - Department of General Surgery, Vinmec International General Hospital.
Hello,
With the question “Can people with liver disease and diabetes use TIPS? ", the doctor would like to answer as follows:
According to the description, perhaps your family member has cirrhosis of the liver with portal hypertension, ruptured varicose veins of the esophagus. When the liver is cirrhotic, blood from the abdominal organs cannot return to the heart (systemic circulation), leading to increased portal pressure. To completely solve the etiology of cirrhosis as well as complications of portal hypertension: It is necessary to consider registering for a liver transplant. To solve temporarily while waiting for liver transplant, there are many measures - medical or surgical procedures: The aim is to actively create the return flow of portal blood to the host system. TIPS is an interventional procedure that places a tube through the jugular (neck) vein into the liver to create a communication route between the hepatic vein and the intrahepatic portal vein.
Diabetes is not a contraindication to TIPS.
When doing TIPS, blood from the portal system goes to the system without being filtered through the liver, so there is a risk of hepatic encephalopathy (coma) due to increased concentration of NH3 entering the brain blood. Therefore, patients need to limit protein intake.
If you still have questions about TIPS, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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