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Emergency distal splenorenal shunt for medically uncontrollable variceal haemorrhage.
Zentralbl Chir. 1988; 113(7):446-54.ZC

Abstract

Emergency distal splenorenal shunt was prospectively carried out on 14 patients presenting with active bleeding from esophagogastric varices which was not controllable by medical treatment. Patients were composed of nine males and five females. Age ranged from 34 to 76 years with an average of 56.2. Underlying liver disease were cirrhosis of the liver in seven, cirrhosis and hepatocellular carcinoma (HCC) in five, primary biliary cirrhosis in one, and chronic hepatitis in one instance. Preoperatively, the Child's classification was A in one, B in five, and C in eight patient. Two patients underwent the original Warren shunt but the remaining 12 were treated by modified distal splenorenal shunts using Gore-Tex interposition. Three patients with Child's class C disease died within one month (operative mortality 21.4%). An oldest woman transiently had hepatic encephalopathy but recurrent variceal bleeding was not observed in any of the patients. Distal splenorenal shunt is a safe and reliable means in the treatment of medically intractable variceal hemorrhage.

Authors+Show Affiliations

Department of Surgery, Hiroshima Red Cross Hospital, Izumo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

3261067

Citation

Nagasue, N, et al. "Emergency Distal Splenorenal Shunt for Medically Uncontrollable Variceal Haemorrhage." Zentralblatt Fur Chirurgie, vol. 113, no. 7, 1988, pp. 446-54.
Nagasue N, Ogawa Y, Yukaya H, et al. Emergency distal splenorenal shunt for medically uncontrollable variceal haemorrhage. Zentralbl Chir. 1988;113(7):446-54.
Nagasue, N., Ogawa, Y., Yukaya, H., Tamada, R., Chang, Y., & Nakamura, T. (1988). Emergency distal splenorenal shunt for medically uncontrollable variceal haemorrhage. Zentralblatt Fur Chirurgie, 113(7), 446-54.
Nagasue N, et al. Emergency Distal Splenorenal Shunt for Medically Uncontrollable Variceal Haemorrhage. Zentralbl Chir. 1988;113(7):446-54. PubMed PMID: 3261067.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergency distal splenorenal shunt for medically uncontrollable variceal haemorrhage. AU - Nagasue,N, AU - Ogawa,Y, AU - Yukaya,H, AU - Tamada,R, AU - Chang,Y, AU - Nakamura,T, PY - 1988/1/1/pubmed PY - 1988/1/1/medline PY - 1988/1/1/entrez SP - 446 EP - 54 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 113 IS - 7 N2 - Emergency distal splenorenal shunt was prospectively carried out on 14 patients presenting with active bleeding from esophagogastric varices which was not controllable by medical treatment. Patients were composed of nine males and five females. Age ranged from 34 to 76 years with an average of 56.2. Underlying liver disease were cirrhosis of the liver in seven, cirrhosis and hepatocellular carcinoma (HCC) in five, primary biliary cirrhosis in one, and chronic hepatitis in one instance. Preoperatively, the Child's classification was A in one, B in five, and C in eight patient. Two patients underwent the original Warren shunt but the remaining 12 were treated by modified distal splenorenal shunts using Gore-Tex interposition. Three patients with Child's class C disease died within one month (operative mortality 21.4%). An oldest woman transiently had hepatic encephalopathy but recurrent variceal bleeding was not observed in any of the patients. Distal splenorenal shunt is a safe and reliable means in the treatment of medically intractable variceal hemorrhage. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/3261067/Emergency_distal_splenorenal_shunt_for_medically_uncontrollable_variceal_haemorrhage_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -