In unselected cirrhotic patients with acute portal hypertension-related bleeding to compare
the effectiveness in control of bleeding, mortality rate, duration of life, quality of life,
and economic costs of two widely used treatment measures: (1) emergency transjugular
intrahepatic portal-systemic shunt (TIPS), and (2) emergency portacaval shunt.
- All patients with UGI bleeding who are shown to have the findings of cirrhosis and
esophagogastric varices or portal hypertensive gastropathy and require 2 or more
units of blood transfusion will be included.