Cirrhosis is the end of various chronic liver diseases, and 100,000 people die from cirrhosis every year worldwide. Cirrhosis combined with upper gastrointestinal bleeding is one of the most common acute and critical diseases, which seriously threatens patients’ lives and seriously affects the quality of life of patients with liver disease due to its recurrent attacks and high mortality rate. Rupture of esophagogastric varices is a common complication of cirrhosis, which is characterized by large amount of bleeding, rapid changes in the condition and fierce onset, often causing hemorrhagic shock or inducing hepatic encephalopathy, and the mortality rate of patients is very high; portal hypertensive gastric disease used to be called “putrefactive gastritis”, “congestive gastritis”, and “congestive gastritis”. congestive gastritis” and “hemorrhagic gastritis”, and recently it is also called “congestive gastritis”, whose histological characteristics are dilated, twisted and irregular capillaries in the mucosa and submucosa, which are prone to rupture and bleeding; patients with advanced cirrhosis Gastrointestinal mucosal erosion and ulceration caused by liver insufficiency, resulting in gastrointestinal bleeding, is called hepatic gastrointestinal failure. In addition, liver function impairment and coagulation mechanism disorder can also promote gastrointestinal bleeding. How to treat cirrhosis complicated by upper gastrointestinal bleeding? The majority of patients with cirrhosis complicated by upper gastrointestinal bleeding have no obvious aura or discomfort, while some patients have a feeling of fullness in the upper abdomen before vomiting blood. The main clinical manifestations of upper gastrointestinal bleeding are vomiting blood and/or black stool and peripheral circulation failure, which is a common clinical emergency. Whether the resuscitation is appropriate and the treatment is timely and correct is related to the life of the patient and the quality of life after the patient’s recovery. Therefore, once a patient has vomited blood, the family should immediately send him/her to the hospital. The key to resuscitate upper gastrointestinal bleeding is to administer fluids, blood transfusion, prevent and treat shock and hemostasis. The methods of hemostasis include drugs, mechanical compression (three-chambered two-bladder tube compression), and endoscopic ligature. The results of a clinical multicenter study published in 2010 in the New England Journal of Medicine, the world’s most prestigious journal, suggest that for patients with active bleeding esophagogastric varices in cirrhosis and with Child-Pugh C or B liver function, early use of transjugular intrahepatic portosystemic shunt (TIPS) can significantly reduce the bleeding control The early use of TIPS significantly reduces the failure rate of bleeding control, greatly reduces the recurrence rate of bleeding, and significantly reduces mortality without increasing the occurrence of hepatic encephalopathy or exacerbating existing hepatic encephalopathy. This publication recommends that early TIPS be performed within 72 hours of diagnostic endoscopy. The publication of this article changes the perception that TIPS is a remedial treatment only for patients with recurrent bleeding who have failed conservative medical therapy and will make TIPS the early treatment of choice for patients with cirrhotic portal hypertensive upper gastrointestinal bleeding, thus benefiting patients with this disease early and reducing the risk of death and The concept of TIPS will make TIPS the early treatment of choice for patients with cirrhotic portal hypertensive upper gastrointestinal bleeding, thus benefiting these patients early and reducing the risk of death and the pain of repeated bleeding. TIPS is the first and most difficult interventional procedure in Guangxi that has been successfully carried out in the oncology interventional ward of the district hospital in close cooperation with the Department of Gastroenterology, and the improvement of the overlapping stent has greatly reduced the rate of stent restenosis after previous TIPS procedures and significantly improved the therapeutic effect, laying a good foundation for the widespread development of this treatment in Guangxi. The TIPS procedure can integrate the bypass operation of portal hypertension with the embolization and disconnection of varicose veins, and complete two technical operations in one operation, so that the problem of repeated bleeding can be solved more ideally. It is also easily accepted by the majority of patients for its small trauma, good efficacy, high safety and quick recovery.