The Present Day Usage of Nonselective Shunts

  • Henri Bismuth
  • David J. Sherlock
  • René Adam


The term “nonselective shunt” applies to a portal deviation which decompresses the entire portal system, in contrast to a “selective shunt” which decompresses only a portion of the portal vasculature. The nonselective shunts can be identified by their anatomical position: portacaval, mesentericocaval or splenorenal. These shunts can also be described by the degree to which they decompress the entire portal flow: “total” in which the portal pressure is reduced to approximately the systemic venous pressures, and “partial” in which only a restricted amount of portal flow is deviated into the systemic venous system, hence “taking the head off the pressure” and reducing the risk of variceal bleeding while maintaining hepatopetal flow [1].


Portal Hypertension Cirrhotic Patient Variceal Bleeding Portal Flow Portacaval Shunt 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Japan 1991

Authors and Affiliations

  • Henri Bismuth
  • David J. Sherlock
  • René Adam
    • 1
  1. 1.Hepato-Biliary Surgery and Liver Transplantation Research Unit, South Paris Faculty of MedicinePaul Brousse HospitalVillejuifFrance

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