Portal Hypertension

  • Jack Pickleman


A 60-year-old alcoholic man presents to the emergency room with hematemesis and melena. He is hypotensive and appears mildly jaundiced. Endoscopy reveals bleeding esophageal varices.Which of the following treatments should not be considered in this acutely bleeding patient?
  1. A.

    Side-to-side portacaval shunt.

  2. B.

    End-to-side portacaval shunt.

  3. C.

    Mesocaval shunt.

  4. D.

    Distal splenorenal shunt.

  5. E.

    Transthoracic ligation of varices.



Portal Hypertension Esophageal Varix Variceal Hemorrhage Portacaval Shunt Splenorenal Shunt 
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Copyright information

© Springer Science+Business Media New York 1982

Authors and Affiliations

  • Jack Pickleman
    • 1
  1. 1.Loyola University Stritch School of MedicineMaywoodUSA

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