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  • Chapter 10 Treatment of Portal Hypertension Falk Rauchfuss* and Utz Settmacher Department of General, Visceral and Vascular Surgery, University Hospital Jena, Jena, Germany Abstract Portal hypertension is a major complication of liver cirrhosis and may lead to lifethreatening hemorrhage of esophageal varices, ascites, hepatic how to buy viagra at cvs encephalopathy and/or renal failure. Inc, michelli ISBN 968-1-61299-318-6 © 2012 Nova Science Publishers. The operative options include side-to-side shunts as well end-to-side anastomoses between the portal vein and the inferior vena cava, distal spleno-renal shunts (Warren-shunts) and mesocaval shunt procedures (Drapanas-shunts).

    Causes, Diagnosis how to buy viagra at cvs and Treatment Editor. This hypertension is caused by an increased intrahepatic resistance due to the liver cirrhosis and is aggravated by a decreased sensitivity to endogenous vasopressors and an increased local concentration of vasodilators, from the pathophysiological point of view. The therapeutic options range from symptomatic medical treatment to endoscopic treatment (band ligation) to radiological interventions (placement of a transjugular intrahepatic portosystemic shunt) to surgical procedures.

    In this review, we present different treatment regimes for the treatment of portal hypertension focusing on the different shunt procedures for surgical treatment of portal hypertension.

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