Preoperative Investigation and Preparation for the Procedure

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Clinical evaluation: Laboratory tests:

Color-flow Doppler ultrasound and visceral angiography: Determination of Child-Pugh score

Alcohol consumption and alcohol withdrawal syndromes, hepatitis and hepatotoxic medications Variceal bleeding, ascites, hypersplenism, hepatic encephalopathy, jaundice, nutritional status, signs of portal hypertension (e.g., caput medusa)

ALT, AST, bilirubin, alkaline phosphatase, albumin, coagulation profile (PT, INR, platelets), tumor markers and serologies (e.g., hepatitis), when indicated. Electrolyte and acid-base profile

Assessment of portasplanchnic patency, as well as patency of the inferior vena cava

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