Most commonly performed hepatobiliary shunt in Budd-Chiari syndrome: (A) Rex shunt, (B) Lienorenal shunt, (C) Mesocaval shunt, (D) Side-to-side poocaval shunt
Answer is D. Treatment Side-to-side poocaval shunt: SSPCS is the most effective therapy for BCS caused by thrombosis of the hepatic veins Ideal circumstances for shunt surgery include in BCS Absence of cirrhosis or significant fibrosis on biopsy Absence of a significant gradient between the Supra hepatic and Infra hepatic IVC Relatively sho duration disease Ref: schwaz's principle of surgery 10th edition Pg no :1283-1284