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Vascular Liver Disease pp 245–254Cite as

Surgical Intervention for Portal Hypertension

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Abstract

In 2010, surgery for complications of portal hypertension is largely ­limited to liver transplantation. The use of surgical shunts and devascularization procedures for variceal bleeding is now limited to unusual patients who have bleeding refractory to medical management, cannot be managed by TIPS, and have sufficiently preserved liver function so that they do not need a liver transplant. This chapter gives an outline of the different types of surgical shunts available to decompress varices and of the approach devascularization procedures take in managing patients with refractory bleeding, and summarizes the most current outcome data for these treatments.

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Authors and Affiliations

  1. Department of General Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue/E32, Cleveland, OH, 44195-000, USA

    J. Michael Henderson

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  1. J. Michael Henderson
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Correspondence to J. Michael Henderson .

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Editors and Affiliations

  1. Keck School of Medicine, Div. GI & Liver Diseases, University of Southern California, Los Angeles, 90033, California, USA

    Laurie D. DeLeve

  2. , Section of Digestive Diseases, Yale University School of Medicine, New Haven, 06520, Connecticut, USA

    Guadalupe Garcia-Tsao

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© 2011 Springer New York

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Henderson, J.M. (2011). Surgical Intervention for Portal Hypertension. In: DeLeve, L., Garcia-Tsao, G. (eds) Vascular Liver Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8327-5_16

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  • DOI: https://doi.org/10.1007/978-1-4419-8327-5_16

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-8326-8

  • Online ISBN: 978-1-4419-8327-5

  • eBook Packages: MedicineMedicine (R0)

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