Transjugular Intrahepatic Portosystemic Shunt in India for International Patients

Transjugular Intrahepatic Portosystemic Shunt in India stops dangerous liver bleeding. GetWellGo handles your top specialist, visa, and a safe, cozy stay.

Transjugular Intrahepatic Portosystemic Shunt in India for International Patients

Transjugular Intrahepatic Portosystemic Shunt in India

This shunt is made in the liver which connects two veins using a stent. This aids in diversion of blood and decreased pressure in the liver. It is usually conducted by interventional radiologists under imaging guidance.

Why is TIPS Done?

TIPS is indicated in case complications of liver disease have become uncontrollable by medicines or endoscopic therapy.

Procedure

Step-by-step:

  • Through the vein in the neck a catheter is placed.
  • The imaging is used to guide to the liver veins.
  • A pathway is formed between hepatic veins and portal.
  • An opening in the shunt is maintained by inserting a metal stent.
  • Time: 1–2 hours
  • Hospital stay: 1–3 days

TIPS Advantages

  • Effective reduction of portal hypertension. 
  • Curtails or averts life threatening bleeding.
  • Enhances the fluid buildup and ascites.
  • Lean surgery and quicker healing.
  • Is able to stabilize patients undergoing transplant.
  • Improves quality of life

Factors Affecting TIPS procedure cost in India

The following are the major aspects that determine the total cost:

The type of Hospital and Infrastructure

  • Super specialty hospital charges are on the higher side because of high end facilities.
  • Multi-specialty hospitals or smaller ones are not quite costly.
  • Presence of high-end interventional radiology facilities drives up expenses.
  • The improved infrastructure usually comes at a higher price but success.

Specialization of Doctor and Medical Staff

  • Interventional radiologists and hepatologists who have high experience demand high professional charges.
  • Multidisciplinary team (liver specialist, anaesthetist, ICU team) may be needed in case of complex cases.
  • Experienced specialists enhance the results at the expense of increasing the process price.

Type of Stent Used

  • Bare metal stent (BMS) -cheaper.
  • Covered stent (PTFE-coated) - more expensive, but superior long-term patency.
  • Stents also make one of the largest cost decisions in TIPS.

Complexity of the Procedure

  • Basic TIPS (bare bones) → less expensive.
  • Complicated TIPS (difficult anatomy, previous surgeries, portal vein thrombosis) = increased cost.
  • Complex procedures are more time consuming, more experienced and more advanced in imaging.

Patient’s Medical Condition

  • Liver severity (cirrhosis) Advanced.

Existence of complications such as:

  • Ascites
  • Variceal bleeding
  • Hepatorenal syndrome
  • Severe patients might require more attention, which makes it more expensive.

Pre-Procedure Investigations

  • Liver and Coagulation tests 
  • Radiography 
  • Cardiac evaluation
  • The large number of diagnostic workups will increase the overall bill.

Stay in Intensive Care Unit and hospital

  • Standard stay: 1–3 days
  • Cost becomes high with ICU requirement.
  • The intensive care of critically ill patients can need a long period of ICU care.

Aftercare Procedural Care and Follow-Up

  • Drugs (encephalopathy prevention, infections)
  • Postoperative imaging to monitor the operation of the stents.
  • Re-intervention maybe necessary in case of stent blockage.
  • Follow-up in the long run may increase the total costs.

City & Location

  • Metro cities → higher cost
  • Tier-2 cities Tier-2 cities are relatively less expensive.
  • The variation in costs is attributed to the hospital standards and lives.

Additional Medical Requirements

  • Blood transfusion
  • The complex issues (infection, bleeding) management.
  • Re-do procedures or stent replacement.
  • Sudden complications might raise the end costs.

TIPS surgery for liver cirrhosis India

The cirrhosis leads to scarring of the liver that prevents the flow of normal blood leading to portal hypertension (high pressure in the portal vein). TIPS constructs a by-pass (shunt) within the liver with the help of stent to join portal vein and hepatic vein, lowering this pressure and enhancing blood circulation. This assists in avoiding life threatening complications without open surgery.

What is the need of TIPS in the case of Cirrhosis?

  • TIPS can be advised in progressive or compensated cirrhosis particularly when the conventional treatment fails.

Main Indications:

  • Frequent variceal hemorrhage 
  • Refractory ascites (the fluid that is not responding to medicines)
  • Hepatic peritonitis (fluid in the lungs)
  • Portal hypertension complications.
  • Bridge to liver transplant
  • It is usually thought to be used in cases where patients need frequent draining of the fluid or in instances where the patients are uncontrollably bleeding.

Success Rate & Outcomes

  • Technical success rate: >90%
  • Bleeds control virtually instantly.
  • Ascites relief is experienced by many patients.
  • Can be used as a prelude to liver transplant.

However, outcomes depend on:

  • Liver (Child-Pugh score) function.
  • Nutritional status
  • Overall health

Portal hypertension treatment India TIPS

Portal hypertension (the majority of it is related to liver cirrhosis) demands a progressive approach to treatment in India, including the use of medications and some more complicated procedures, such as Transjugular Intrahepatic Portosystemic Shunt (TIPS).

Treatment Strategy

Depending on the severity, complications, and liver functioning is treated. The main goal is to:

  • Reduce portal vein pressure
  • Prevent bleeding (varices)
  • Preservation in the accumulation of fluid in the abdomen (ascites).
  • Improve survival
  • Complications can be treated successfully, although there is no curative treatment.

Recommended before surgery: Non-Surgical treatments

Medications

  • Beta-blockers -lessen portal pressure.
  • Nitrates → improve blood flow
  • Diuretics → manage ascites
  • Lactulose/ antibiotics -prevent encephalopathy.
  • They are normally the first line of treatment.

Endoscopic Therapy

  • Banding Endoscopic variceal ligation.
  • Sclerotherapy or injection of glue.
  • Used to treat or prevent internal bleeding of varices.

High-tech Surgery: TIPS Operation

What is TIPS?

Transjugular Intrahepatic Portosystemic Shunt (TIPS) is a minimally invasive process with image guidance which involves:

  • Formed by a space between portal vein and hepatic vein.
  • Lowers the pressure within the liver.
  • Improves blood flow
  • It is sold in the leading hospitals of India with interventional radiology departments.

TIPS procedure hospitals in India

Conclusion

The Transjugular Intrahepatic Portosystemic Shunt (TIPS) in India has proved to be one of the most effective, minimum invasive interventions that can be undertaken to control severe complications of portal hypertension in patients with advanced liver disease. India has an equivalent outcome to the international level with the presence of advanced interventional radiology procedures, trained professionals, and affordable treatment procedures. Although TIPS is not a curative agent against underlying liver cirrhosis, it is the vital component in the management of life-threatening complications like variceal bleeding and refractory ascites and in many cases, it is used as a transition to liver transplantation. The selection of patients, stent technology, and follow-up procedures should be closely followed to achieve success in the long run and reduce complications to a minimum. Generally, TIPS in India is a safe and accessible and life-saving intervention that can greatly benefit patient survival and quality of life when done at the appropriate time and in the appropriate clinical environment.

Transjugular Intrahepatic Portosystemic Shunt in India​ with GetWellGo

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  • Expert Interventional Radiologists/Hepatologists with high success rate and experience.
  • Assistance during and after the course of treatment.
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