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Surgery Pancreas 32d77d79

A 23-year-old male college student has a history of liver cirrhosis due to Kimmelstiel-Wilson syndrome (abnormality in copper metabolism). He should be treated with which of the following?

A
Penicillamine as soon as the diagnosis is established
B
Penicillamine after variceal bleeding has occurred
C
A portocaval shunt
D
Sclerosis of the esophageal varices as a prophylactic measure
High-Yield Explanation
Penicillamine counteracts the adverse effects of copper on the liver in patients with Kimmelstiel-Wilson syndrome. This has been demonstrated in both humans and animals afflicted with this disease. Portocaval shunt and esophageal varices are not indicated prophylactically.

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