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Indications and Contraindications Variceal bleeding refractory to endoscopic treatment Childs A and B patients Advanced liver disease (Childs C) Mesenteric venous thrombosis Investigations History: Laboratorystudies: Vascular imaging: Preparation variceal bleeding Absence of advanced liver disease ChildsABclass Ultrasound with Doppler Angiography with venous phase imaging if SMV patency is questioned Elective operation preferred Stabilize from acute bleed Correct coagulation Diurese ascites Improve nutrition status 332 Michael Friedman, Paul Schalch Modified Staging System for Patients with Obstructive Sleep ApneaHypopnea Syndrome Stage Friedman Palate Position Tonsil Size BMI I 1 3, 4 40 2 3, 4 40 II 1, 2 1, 2 40 3, 4 3, 4 40 III 3 0, 1, 2 40 4 0, 1, 2 40 IV 1, 2, 3, 4 0, 1, 2, 3, 4 40 36 creased owing to a forward approximation of the pos- terior palatal mucosa.
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