The operation that precipitates portosystemic encephalopathy is
Portosystemic encephalopathy is a neuropsychiatric syndrome, It most often results from high gut protein or acute metabolic stress
(eg, GI bleeding, infection, electrolyte abnormality) in a patient with portosystemic shunting.
In portosystemic shunting, absorbed products that would otherwise be detoxified by the liver enter the systemic circulation and reach the brain, causing toxicity, particularly to the cerebral cortex.
Splenorenul shunt
Siguira operation
Talma - Marison Operation
Portacaval anastomosis