TY - CHAP M1 - Book, Section TI - SHUNTING PROCEDURES FOR PORTAL HYPERTENSION A1 - Ellison, E. Christopher A1 - Zollinger, Robert M. PY - 2016 T2 - Zollinger's Atlas of Surgical Operations, 10e AB - Portal decompression is indicated in patients who have portal hypertension complicated by gastrointestinal hemorrhage from esophageal varices that are not effectively controlled with sclerotherapy injections. Some procedures completely interrupt portal venous flow to the liver (end-to-side portacaval shunt), while others selectively decompress the portal system via a collateral shunt (side-to-side portacaval, splenorenal, and mesocaval). The procedure selected will depend upon the patency of the portal and splenic veins, the results of liver function studies, the amount of portal venous blood being shunted, whether the patient is bleeding acutely, and whether the patient is a candidate for liver transplantation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/11 UR - accesssurgery.mhmedical.com/content.aspx?aid=1127275066 ER -