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    The choice of the procedure depends on the individual surgical experience and preferences, previously performed abdominal operations which might make a certain shunt procedure difficult and the option viagra newsletter subscription of future liver transplantation. The following section gives an overview about the commonly used surgical shunt procedures.  portosystemic shunt procedures, which are subdivided in o total portosystemic shunts and (Surgical) Treatment of Portal Hypertension o selective portosystemic shunts (gastric) devascularization procedures. Selective Shunt Procedures In selective shunt procedures, the portal blood flow is at least partially maintained. 253  At our center, we divide the shunts in central and peripheral shunts.