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[The present status of portal vein surgery in liver cirrhosis (author's transl)].
Leber Magen Darm. 1975 Oct; 5(5):214-22.LM

Abstract

Surgical procedures concerning the portal vein in liver cirrhosis must be carefully planned preoperatively. If there is still a residual blood supply of the liver through the portal vein it should be preserved. This can be done best by establishing a pressure-adapted arterialisation of the liver plus portacaval end-to-side anastomosis. The portacaval shunt is the method of choice if there is no residual blood flow through the portal vein. A spleno-renal venous anastomosis is to be performed, if there is a total or partial thrombosis of the stem of the portal vein. Treatment of acute bleeding from esophageal varices is still a problem unresolved. The pathophysiology of this situation is considered; a method is proposed which combines a quick stop of bleeding and relief of the detoxfying function of the liver.

Authors

Matzander U
No affiliation info available

MeSH

Esophageal and Gastric VaricesHumansHypertension, PortalPortacaval Shunt, SurgicalPortal VeinRenal VeinsSplenic VeinVascular Surgical Procedures

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

1219267

Citation

Matzander, U. "[The Present Status of Portal Vein Surgery in Liver Cirrhosis (author's Transl)]." Leber, Magen, Darm, vol. 5, no. 5, 1975, pp. 214-22.
Matzander U. [The present status of portal vein surgery in liver cirrhosis (author's transl)]. Leber Magen Darm. 1975;5(5):214-22.
Matzander, U. (1975). [The present status of portal vein surgery in liver cirrhosis (author's transl)]. Leber, Magen, Darm, 5(5), 214-22.
Matzander U. [The Present Status of Portal Vein Surgery in Liver Cirrhosis (author's Transl)]. Leber Magen Darm. 1975;5(5):214-22. PubMed PMID: 1219267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The present status of portal vein surgery in liver cirrhosis (author's transl)]. A1 - Matzander,U, PY - 1975/10/1/pubmed PY - 1975/10/1/medline PY - 1975/10/1/entrez SP - 214 EP - 22 JF - Leber, Magen, Darm JO - Leber Magen Darm VL - 5 IS - 5 N2 - Surgical procedures concerning the portal vein in liver cirrhosis must be carefully planned preoperatively. If there is still a residual blood supply of the liver through the portal vein it should be preserved. This can be done best by establishing a pressure-adapted arterialisation of the liver plus portacaval end-to-side anastomosis. The portacaval shunt is the method of choice if there is no residual blood flow through the portal vein. A spleno-renal venous anastomosis is to be performed, if there is a total or partial thrombosis of the stem of the portal vein. Treatment of acute bleeding from esophageal varices is still a problem unresolved. The pathophysiology of this situation is considered; a method is proposed which combines a quick stop of bleeding and relief of the detoxfying function of the liver. SN - 0300-8622 UR - https://www.unboundmedicine.com/medline/citation/1219267/[The_present_status_of_portal_vein_surgery_in_liver_cirrhosis__author's_transl_]_ DB - PRIME DP - Unbound Medicine ER -