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Prophylactic distal splenorenal shunt for child's class A and B patients at high risk of bleeding.
Zentralbl Chir. 1988; 113(20):1329-37.ZC

Abstract

During recent 17 years, prophylactic distal splenorenal shunt was carried out on 29 patients. Patients were composed of 18 males and 11 females. Age ranged from 34 to 66 years with an average of 52.4. All patients had risky esophagogastric varices; varices larger than 5 mm in diameter and or varices with red color signs such as cherry red spots endoscopically. Underlying liver disease were cirrhosis of the liver in 27, chronic hepatitis in one, and idiopathic portal hypertension in one. Twenty-three patients were in Child's class A and six were in class B. Thirteen patients underwent the original Warren shunt but the remaining 16 had modified distal splenorenal shunts with expanded polytetrafluoroethylene interposition. Portal-azygos disconnection was routinely performed. One patients (3.4%) died of hepatic failure on the 6th postoperative day. Four patients (14.3%) developed hepatic encephalopathy of mild to moderate degree but no patients have suffered from variceal bleeding until now. The 5-, 10-, and 15-year survival rates were all 85.5 per cent. It is concluded that distal splenorenal shunt is a safe and reliable method to prevent variceal bleeding in a selected group of patients.

Authors+Show Affiliations

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

Pub Type(s)

Journal Article

Language

eng

PubMed ID

3266405

Citation

Nagasue, N, et al. "Prophylactic Distal Splenorenal Shunt for Child's Class a and B Patients at High Risk of Bleeding." Zentralblatt Fur Chirurgie, vol. 113, no. 20, 1988, pp. 1329-37.
Nagasue N, Ogawa Y, Yukaya H, et al. Prophylactic distal splenorenal shunt for child's class A and B patients at high risk of bleeding. Zentralbl Chir. 1988;113(20):1329-37.
Nagasue, N., Ogawa, Y., Yukaya, H., Sasaki, Y., Tamada, R., Chang, Y., & Nakamura, T. (1988). Prophylactic distal splenorenal shunt for child's class A and B patients at high risk of bleeding. Zentralblatt Fur Chirurgie, 113(20), 1329-37.
Nagasue N, et al. Prophylactic Distal Splenorenal Shunt for Child's Class a and B Patients at High Risk of Bleeding. Zentralbl Chir. 1988;113(20):1329-37. PubMed PMID: 3266405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prophylactic distal splenorenal shunt for child's class A and B patients at high risk of bleeding. AU - Nagasue,N, AU - Ogawa,Y, AU - Yukaya,H, AU - Sasaki,Y, 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 - 1329 EP - 37 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 113 IS - 20 N2 - During recent 17 years, prophylactic distal splenorenal shunt was carried out on 29 patients. Patients were composed of 18 males and 11 females. Age ranged from 34 to 66 years with an average of 52.4. All patients had risky esophagogastric varices; varices larger than 5 mm in diameter and or varices with red color signs such as cherry red spots endoscopically. Underlying liver disease were cirrhosis of the liver in 27, chronic hepatitis in one, and idiopathic portal hypertension in one. Twenty-three patients were in Child's class A and six were in class B. Thirteen patients underwent the original Warren shunt but the remaining 16 had modified distal splenorenal shunts with expanded polytetrafluoroethylene interposition. Portal-azygos disconnection was routinely performed. One patients (3.4%) died of hepatic failure on the 6th postoperative day. Four patients (14.3%) developed hepatic encephalopathy of mild to moderate degree but no patients have suffered from variceal bleeding until now. The 5-, 10-, and 15-year survival rates were all 85.5 per cent. It is concluded that distal splenorenal shunt is a safe and reliable method to prevent variceal bleeding in a selected group of patients. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/3266405/Prophylactic_distal_splenorenal_shunt_for_child's_class_A_and_B_patients_at_high_risk_of_bleeding_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -