Selective Shunt

Q) A type of Selective shunt for portal hypertension is
A. PSRS (Proximal spleno renal shunt) 
B. Warren shunt
C. SSPCS (Side to side portocaval shunt) 
D. Mesocaval
 shunt

Answer  Q 78

Surgical decompression can be achieved with total or partial portal systemic shunts or by selection variceal decompression.

 Total shunts divert all the portal flow to the systemic circulation. Partial shunts maintain some portal flow to the liver. Selective shunts only decompress gastroesophageal varices and maintain portal hypertension and flow to the liver. Read on for answer...

Hepatic blood flow

Q. All are true regarding hepatic blood flow except
A. Liver has dual blood supply from portal vein and hepatic artery
B. 70% of liver oxygen comes from the hepatic artery
C. 70-80% of blood supply to the liver is from portal vein

d) Liver receives 25% of cardiac output

Answer for premium

The explanation discusses how much blood and oxygen goes through portal vein and hepatic artery to the liver

What is hepatic artery buffer response

 

Liver trauma

Q) All are true for blunt hepatic trauma except
A. Grade V liver injuries are associated with vascular avulsion
B. Hepatic packing is an expeditious method to control bleeding in blunt hepatic trauma
C. After damage control Surgery and hepatic packing, abdominal compartment syndrome can
happen in immediate postoperative period
D. Post conservative management, in the 3rd week anemia MC occurs due to subcapsular
hematoma rupture

Answer