The preoperative placement of transjugular intrahepatic portosystemic shunt for treatment of a patient with portal hypertension and gastric cancer.

The case report describes the placement of a TIPSS preceding surgery of the upper gastrointestinal tract in a patient with liver cirrhosis and gastric carcinoma. Following two unsuccessful exploratory laparotomies, the decreased portal hypertension facilitated a curative resection of the tumor.