[Effect of a shunt on subsequent liver transplantation].

Abstract

Recurrent bleeding from esophageal varices may be prevented by TIPS or surgical shunts. Both treatment options bear potential risks for a consecutive liver transplantation. TIPS may lead to severe encephalopathy, hepatic functional deterioration, shunt occlusion or dislocation. Following surgical shunts, technical difficulties during transplantation and portal vene thromboses may be encountered. Patients with foreseeable indication for liver transplantation are best treated by TIPS. In Child A and stable Child B patients surgical shunts are preferable.