TIPS and alcohol consumption

My dad (64 yrs old) has cirrhosis and had numerous variceal bleeds this spring. At that time he had the TIPS procedure done. It has seemed to help (no more bleeds and ascites). He is an alcoholic and had not had a drink since December, but has recently started drinking again. His ammonia levels have gone up and he is starting to have bouts of encephalopathy.  In the last couple of weeks he has also gained 22lbs of fluid back! What will happen if he continues to drink (especially with now having the TIPS)?
Thanks for any information!

[Thomas D Schiano, MD]

Even if a TIPS is functioning, active alcohol use can override its beneficial effects and can thus lead to the ascites and the variceal bleed recurring. Relapses like this really do necessitate that he enter into a relapse prevention program.

[Manda29]

Thank you for your reply.
Unfortunately he will not admit to drinking again and hides it very well. The only thing that will help him is being admitted into the hospital again.... hopefully that will not be too late.