RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187824594
T1 Shunting Procedures for Portal Hypertension
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187824594
RD 2024/04/19
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.