Portocaval anastamosis is a collateral connection between the portal and systemic venous systems that develops due to portal hypertension as a result of liver disease. This connection allows blood to bypass the liver, which can cause dangerous variceal bleeding from enlarged veins in the esophagus or stomach. Treatment options include endoscopic ligation of the varices, transjugular intrahepatic portosystemic shunt procedures, surgical shunts, and ultimately liver transplantation.

1. Portocaval
anastamosis
:

2. Introduction
• Porto-systemic anastomosis also known as
portocaval anastomosis is the collateral
communication between the portal and the
systemic venous system.
• The portal venous system transmits deoxygenated
blood from most of the gastrointestinal tract and
gastrointestinal organs to the liver.

4. Portal vein

5. Portal vein

6. Portal vein

7. Portal vein

8. Site of portocaval anastamosis

9. Site of portocaval anastamosis

10. Site of portocaval anastamosis

11. Site of portocaval anastamosis

14. Portal hypertension

19. Variceal bleeding

20. Variceal bleeding

21. Endoscopic ligation

22. TIPSS

23. TIPSS

24. Non selective shunts

25. Non selective shunts

26. Selective shunts

28. Algorithm for definitive therapy
of variceal hemorrhage

30. Segments of liver

32. Liver transplantation

35. •Thank you