TY - CHAP M1 - Book, Section TI - Shunting Procedures for Portal Hypertension A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. PY - 2022 T2 - Zollinger’s Atlas of Surgical Operations, 11e 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), whereas others selectively decompress the portal system via a collateral shunt (side-to-side portacaval, splenorenal, and mesocaval). The procedure selected depends on 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 acutely bleeding, and whether the patient is a candidate for liver transplantation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187824594 ER -