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