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. 2020 Jun 5;45(9):2726–2735. doi: 10.1007/s00261-020-02599-z

Table 1.

Institutional surgical algorithm that represents a synopsis of local surgeon preferences

Indication Preferred shunt
Acute esophageal bleeding Portacaval (end-to-side)
Extrahepatic portal thrombosis Mesocaval, splenorenal (distal or side-to-side)
Extrahepatic portal thrombosis in children Meso-Rex
Budd–Chiari syndrome Portacaval or mesocaval
Ascites Splenorenal (not distal)
Possible liver transplantation candidate Portacaval or mesocaval