The British journal of surgery
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Transjugular intrahepatic portasystemic stent shunt (TIPSS), instead of surgical shunt, has become the standard treatment for patients with complicated portal hypertension. This study compared outcomes in patients who underwent TIPSS or surgical shunting for complicated portal hypertension. ⋯ Surgical shunting achieved better results than TIPSS in patients with complicated portal hypertension and low MELD scores.