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Surgery General a13757e9

Preferred shunt procedure in patient with poal hypeension having acceptable operative risk and adequate liver function is

A
End to side poocaval shunt
B
End to end poocaval shunt
C
Mesocaval shunt
D
Distal splenorenal shunt
High-Yield Explanation
Answer- D. Distal splenorenal shuntPoosystemic shunt procedures such as splenorenal shunt and mesocaval shunt, may be indicated in patients with complication of poal hypeension.Given the early occlusion rate and the need for constant surveillance, it is generally advised that TIPS should be reserved for Child C classification of cirrhosis, whereas a distal splenorenal shunt is safe, durable, preferred and effective treatment in patients with acceptable operative risk and still good liver function.

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