Portal‐systemic shunting and portal‐systemic encephalopathy: A predictable relationship
Harold O. Conn – 1 July 1995 – Objective Results of the first prospective randomized clinical trial comparing partial and total portacaval shunt for variceal hemorrhage are reported. Summary Background Data Total portacaval shunts produce subnormal portal pressures, completely diverting hepatic portal flow. Partial shunts maintain higher pressures and preserve hepatopedal flow. No randomized trials of these two approaches have been performed.