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Elective management of the patient who has bled from esophageal varices.
Can J Surg. 1979 Nov; 22(6):554-5.CJ

Abstract

Variceal hemorrhage can be controlled by nonsurgical means in over 50% of patients. As a result, their general hepatic status can often be improved by preoperative preparation for the elective procedure. The major problem following elective end-to-side portacaval shunting is encephalopathy; it occurs in up to one half of patients who undergo this shunting procedure. Mesocaval shunting has been proposed as a better operation because of lower frequency of encephalopathy; however, the authors' experience has not confirmed this. Distal splenorenal shunting, as shown by the results of a prospective controlled trial, does have a lower frequency of encephalopathy, but the initial morbidity and mortality are higher and an improvement in the duration of survival is not yet evident.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

315262

Citation

Langer, B, et al. "Elective Management of the Patient Who Has Bled From Esophageal Varices." Canadian Journal of Surgery. Journal Canadien De Chirurgie, vol. 22, no. 6, 1979, pp. 554-5.
Langer B, Rotstein LE, Greig PD. Elective management of the patient who has bled from esophageal varices. Can J Surg. 1979;22(6):554-5.
Langer, B., Rotstein, L. E., & Greig, P. D. (1979). Elective management of the patient who has bled from esophageal varices. Canadian Journal of Surgery. Journal Canadien De Chirurgie, 22(6), 554-5.
Langer B, Rotstein LE, Greig PD. Elective Management of the Patient Who Has Bled From Esophageal Varices. Can J Surg. 1979;22(6):554-5. PubMed PMID: 315262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Elective management of the patient who has bled from esophageal varices. AU - Langer,B, AU - Rotstein,L E, AU - Greig,P D, PY - 1979/11/1/pubmed PY - 1979/11/1/medline PY - 1979/11/1/entrez SP - 554 EP - 5 JF - Canadian journal of surgery. Journal canadien de chirurgie JO - Can J Surg VL - 22 IS - 6 N2 - Variceal hemorrhage can be controlled by nonsurgical means in over 50% of patients. As a result, their general hepatic status can often be improved by preoperative preparation for the elective procedure. The major problem following elective end-to-side portacaval shunting is encephalopathy; it occurs in up to one half of patients who undergo this shunting procedure. Mesocaval shunting has been proposed as a better operation because of lower frequency of encephalopathy; however, the authors' experience has not confirmed this. Distal splenorenal shunting, as shown by the results of a prospective controlled trial, does have a lower frequency of encephalopathy, but the initial morbidity and mortality are higher and an improvement in the duration of survival is not yet evident. SN - 0008-428X UR - https://www.unboundmedicine.com/medline/citation/315262/Elective_management_of_the_patient_who_has_bled_from_esophageal_varices_ L2 - http://www.diseaseinfosearch.org/result/2658 DB - PRIME DP - Unbound Medicine ER -