transjugular intrahepatic portosystemic shunt procedures, or tips involve decompressing the portal vein by shunting a portal venule to a lower pressure systemic venule, under guidance with fluoroscopy. since it treats the root cause of portal hypertension gastropathy, it has been putatively used for the condition. the literature reports suggest both regression of portal hypertensive gastropathy on endoscopic images and improvement in bleeding after tips.