Table 5.
Shunt | Bypass of portal venous flow | Recurrent haemorrhage/complications |
Porto-caval; end-to-side | Complete | Low rate of recurrent haemorrhage (< 5%) |
Low degree of shunt occlusion | ||
40% encephalopathy | ||
Increase in ascites | ||
Porto-caval, side-to-side +/- interposition graft | Partial | Recurrent haemorrhage 5% |
Low degree of shunt occlusion (5%) | ||
5% encephalopathy | ||
Distal splenorenal shunt (Warren) | Partial | Recurrent haemorrhage 5%-8% |
Shunt occlusion 10% | ||
Selective decompression of gastroesophageal varices |