According to pughs classification moderate to severe hepatic insufficiency is managed by
Patient of cirrhosis with variceal bleeding or ascites can be controlled by shunt surgery only if he falls in CTP class A or B Moderate to severe grade liver insufficiency can only be managed by liver transplantation Ref: Sabiston 20th edition Pgno : 1436
Sclerotherapy
Conservative
Ohotopic liver transplantation
Shunt surgery
G.I.T