RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127275066 T1 SHUNTING PROCEDURES FOR PORTAL HYPERTENSION T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127275066 RD 2024/03/28 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.