Which condition is an indication for performing a TIPSS procedure?

A Transjugular Intrahepatic Portosystemic Shunt (TIPSS) procedure is specifically indicated for managing acute or refractory variceal bleeding, primarily due to portal hypertension associated with liver cirrhosis or other chronic liver diseases. This condition often leads to the development of esophageal or gastric varices, which can rupture and cause significant gastrointestinal bleeding.

The TIPSS procedure involves creating a shunt between the portal vein and the hepatic vein to reduce portal hypertension, thereby decreasing the pressure in the varices and preventing further bleeding episodes. It is a critical intervention for patients who do not respond to medical management or endoscopic treatments for variceal bleeding.

Other conditions listed, such as chronic renal failure, hypertension, and diabetes mellitus, do not have direct indications for TIPSS. While these conditions may coexist with liver disease, they are not primary reasons to perform a TIPSS procedure.