Surgery Multiple Choice Questions
Surgery For portal Hypertension
3 types of shunts
Total diversion of portal flow --- Rate of Encephalopathy 30-50%
Partial diversion of portal flow 8mm shunts --- rate of encephalopathy is 10-15%
Selective diversion of portal flow -- Interposition portocaval shunt can be used for CHILD score A and B
Portal Hypertension in children
Portal venous presssure is more than 10 mm Hg
Liver failure is rare in children
The most common sequle is
-- variceal bleed
-- Ascites
-- nutritional imbalance
and there are less chances of encephalopathy, portopulmonary hypertension and hepatorenal syndrome.
These are the notes on endoscopic management of Bleeding varices. These are concise and only meant for doctors