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Surgical management of portal hypertension
G Maddern1, B Meunier, B Launois
1Department of Digestive Surgery and Transplantation, Pontchaillou University Hospital, Rennes, France.
The Australian and New Zealand Journal of Surgery
|December 1, 1994
Abstract:
The surgical management of portal hypertension depends on the location of the obstruction. Suprahepatic obstruction is usually optimally treated by a surgical portacaval shunt. In extrahepatic obstruction the treatment should be sclerotherapy. For intrahepatic obstruction in emergency situations, sclerotherapy is the first choice, with portacaval systemic shunts or transjugular intrahepatic portal systemic stent shunt the second option. Liver transplantation in other situations should, if possible, be considered ahead of a portal diversion.