Tags

Type your tag names separated by a space and hit enter

Conventional splenorenal shunts. A reconsideration.
Arch Surg. 1975 May; 110(5):588-93.AS

Abstract

From 1961 to 1971, 73 central splenorenal and 66 portacaval shunts were done for cirrhotic patients who had bled from esophageal varices. Comparative analysis revealed low (3% and 2%, respectively) operative mortality for elective operations, equal (93%) effectiveness in control of variceal bleeding, but substantial diferences in the incidence of postshunt encephalopathy. For patients who had mimal hepatic dysfunction before operation, disabling disorders in mentation developed in 5% of patients who had splenorenal shunts, in contrast to 50% of patients who had portacaval shunts. Survival rates after the two shunts were nearly identical. Thus, the advantages of splenorenal shunts concern the quality of life but not the length of survival. These observations are considered in relation to available therapeutic alternatives.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

1079450

Citation

Pliam, M B., et al. "Conventional Splenorenal Shunts. a Reconsideration." Archives of Surgery (Chicago, Ill. : 1960), vol. 110, no. 5, 1975, pp. 588-93.
Pliam MB, Adson MA, Foulk WT. Conventional splenorenal shunts. A reconsideration. Arch Surg. 1975;110(5):588-93.
Pliam, M. B., Adson, M. A., & Foulk, W. T. (1975). Conventional splenorenal shunts. A reconsideration. Archives of Surgery (Chicago, Ill. : 1960), 110(5), 588-93.
Pliam MB, Adson MA, Foulk WT. Conventional Splenorenal Shunts. a Reconsideration. Arch Surg. 1975;110(5):588-93. PubMed PMID: 1079450.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Conventional splenorenal shunts. A reconsideration. AU - Pliam,M B, AU - Adson,M A, AU - Foulk,W T, PY - 1975/5/1/pubmed PY - 1975/5/1/medline PY - 1975/5/1/entrez SP - 588 EP - 93 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 110 IS - 5 N2 - From 1961 to 1971, 73 central splenorenal and 66 portacaval shunts were done for cirrhotic patients who had bled from esophageal varices. Comparative analysis revealed low (3% and 2%, respectively) operative mortality for elective operations, equal (93%) effectiveness in control of variceal bleeding, but substantial diferences in the incidence of postshunt encephalopathy. For patients who had mimal hepatic dysfunction before operation, disabling disorders in mentation developed in 5% of patients who had splenorenal shunts, in contrast to 50% of patients who had portacaval shunts. Survival rates after the two shunts were nearly identical. Thus, the advantages of splenorenal shunts concern the quality of life but not the length of survival. These observations are considered in relation to available therapeutic alternatives. SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/1079450/Conventional_splenorenal_shunts__A_reconsideration_ L2 - https://jamanetwork.com/journals/jamasurgery/fullarticle/vol/110/pg/588 DB - PRIME DP - Unbound Medicine ER -