This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Poal Hypeension, Subject name: Surgery
[{'content': 'Which of the following is the most common complication of this procedure? \nSelect and explain. \nA. Shunt stenosis, B. Capsular hemorrhage, C. Metabolic encephalopathy, D. Recurrent variceal bleed', 'role': 'user'}, {'content': 'Answer: C \nExplanation: The procedure shown in the figure is TIPSS (TRANSJUGULAR INTRA -HEPATIC POO - SYSTEMIC SHUNT) - Non selective shunt A shunt is placed b/w right hepatic vein & right branch of poal vein & almost all blood is drained into IVC. Complications of TIPS 1. Encephalopathy (due to NH3) (M/C) 2. Stent stenosis 3. Stent thrombosis', 'role': 'assistant'}]