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Early experience with the selective splenocaval shunt for variceal bleeding.
Surg Gynecol Obstet. 1988 Oct; 167(4):335-40.SG

Abstract

Selective variceal decompression is the operative method of choice in the definitive management of recurrent hemorrhage from gastroesophageal varices. The distal splenorenal shunt is the recommended procedure for selective variceal decompression, but its use may be limited in patients who have undergone left nephrectomy, in patients with an anatomically aberrant relationship between the splenic and left renal veins and in patients with preoperative visceral angiographic findings suggesting that they are at risk for development of the postoperative syndrome of renal vein hypertension. In these clinical situations, selective variceal decompression can be obtained with a splenocaval shunt, constructed by directly anastomosing the splenic vein to the infrarenal vena cava. Seven patients who have undergone the selective splenocaval shunt are reviewed in this report. Early experience with these patients demonstrates the use of the selective splenocaval shunt when an alternative to the distal splenorenal shunt is needed.

Authors+Show Affiliations

Ross C
Department of Surgery, Vanderbilt University Hospital, Nashville, Tennessee.
Potts JR
No affiliation info available

MeSH

AdultAgedAnastomosis, SurgicalEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHumansMaleMiddle AgedPortasystemic Shunt, SurgicalPrognosisSplenic VeinVenae Cavae

Pub Type(s)

Journal Article

Language

eng

PubMed ID

3262241

Citation

Ross, C, and J R. Potts. "Early Experience With the Selective Splenocaval Shunt for Variceal Bleeding." Surgery, Gynecology & Obstetrics, vol. 167, no. 4, 1988, pp. 335-40.
Ross C, Potts JR. Early experience with the selective splenocaval shunt for variceal bleeding. Surg Gynecol Obstet. 1988;167(4):335-40.
Ross, C., & Potts, J. R. (1988). Early experience with the selective splenocaval shunt for variceal bleeding. Surgery, Gynecology & Obstetrics, 167(4), 335-40.
Ross C, Potts JR. Early Experience With the Selective Splenocaval Shunt for Variceal Bleeding. Surg Gynecol Obstet. 1988;167(4):335-40. PubMed PMID: 3262241.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early experience with the selective splenocaval shunt for variceal bleeding. AU - Ross,C, AU - Potts,J R,3rd PY - 1988/10/1/pubmed PY - 1988/10/1/medline PY - 1988/10/1/entrez SP - 335 EP - 40 JF - Surgery, gynecology & obstetrics JO - Surg Gynecol Obstet VL - 167 IS - 4 N2 - Selective variceal decompression is the operative method of choice in the definitive management of recurrent hemorrhage from gastroesophageal varices. The distal splenorenal shunt is the recommended procedure for selective variceal decompression, but its use may be limited in patients who have undergone left nephrectomy, in patients with an anatomically aberrant relationship between the splenic and left renal veins and in patients with preoperative visceral angiographic findings suggesting that they are at risk for development of the postoperative syndrome of renal vein hypertension. In these clinical situations, selective variceal decompression can be obtained with a splenocaval shunt, constructed by directly anastomosing the splenic vein to the infrarenal vena cava. Seven patients who have undergone the selective splenocaval shunt are reviewed in this report. Early experience with these patients demonstrates the use of the selective splenocaval shunt when an alternative to the distal splenorenal shunt is needed. SN - 0039-6087 UR - https://www.unboundmedicine.com/medline/citation/3262241/Early_experience_with_the_selective_splenocaval_shunt_for_variceal_bleeding_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -