Presentation on surgical shunts

1. Surgical Shunts
Blue Bora Tarhan

2. Portal hypertension
• Blockade of liver vessels
• High blood pressure in portal venous system
• Shunt for circumvention

3. Detection
• Invasive method:
- Hepatic venous pressure gradient
• Non-Invasive method:
- Cardiac Output
- (Doppler) Ultrasound

5. Portacaval Shunt
• Reduces hypertension (+)
• Possible hepatic encephalopathy (-)
• Hilar dissection (-)
• 2-year survival rate and mortality rate not
really good (-)

6. Portacaval Shunt

7. TIPS
• Transjugular intrahepatic portosystemic shunt
• Reduces hypertension (+)
• Non-invasive (+)
• Low mortality rate (+)
• Possible liver transplantation (+)
• Allergies (-)
• Infection (-)

9. Meso-Cavo Jugular Shunt
• Reduces hypertension (+)
• Non-invasive (+)
• Possible liver transplantation (+)
• Not much known about mortality rates (-)