An 8-year-old female child underwent hepatointestinal anastomosis at the age of 4 months and had 3 repeated gastrointestinal bleeding in the past 1 year. CT confirmed liver cirrhosis and splenomegaly, and gastroscopy showed severe varicose veins of the esophageal and gastric fundus. Emergency Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure: an 8 mm diameter stent was placed, reducing the portal vein pressure from 34 mmHg to 17 mmHg. Bleeding stopped 72 hours after surgery, and the stent was patented by ultrasound review. TIPS is a minimally invasive, safe and effective treatment method for portal hypertension gastrointestinal bleeding in children with cirrhosis, which can quickly and effectively reduce portal vein pressure, improve symptoms such as gastrointestinal bleeding, and can also be used as a transitional treatment before liver transplantation in children, but its efficacy still needs to be verified by long-term follow-up