portacaval การใช้

• These act as an important portacaval anastomosis in severe portal hypertension, resulting in a caput medusae presentation.
• Cirrhotic patients with portacaval shunts who have esophageal varices ( or any upper GI bleed ) can suffer ammonium intoxication which may lead to coma.
• As a radical treatment for portal hypertension, surgical creation of a portacaval fistula produces an anastomosis between the hepatic portal vein and the inferior vena cava across the omental foramen ( of Winslow ).