This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Anatomy
Left sided poal hypeension is best treated by 
Select and explain. 
A. Splenectomy, B. Poocaval shunt, C. Lino-renal ligament, D. Spleno-renal shunt
A: Splenectomy
Answer: A: Splenectomy 
Explanation: Left sided poal hypeension Poal hypeension due to isolated splenic vein thrombosis is known as left sided poal hypeension or sinistral hypeension Pressure in poal vein and SMV are normal There is gastrosplenic venous hypeension leading to formation of gastric varices Causes Pancreatitis (most common) leading to splenic vein thrombosis Neoplasm Trauma Treatment Splenectomy is the treatment of choice Ref: Sabiston 20th edition Pgno : 1436-1437