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Distal splenorenal shunt in treatment of bleeding esophageal varices in renal transplant recipients.
Surg Gynecol Obstet. 1984 Jan; 158(1):17-21.SG

Abstract

We conclude from this study that bleeding esophageal varices may occur as a late complication of liver disease associated with chronic renal failure and renal transplantation. In two of the three patients reported upon, the liver disease was probably determined on the basis of cirrhosis, secondary to chronic, active hepatitis from non-A, non-B hepatitis, while the third patient had hepatic fibrosis. Such bleeding is best controlled by selective variceal decompression with a DSRS. Finally, it is technically feasible to perform a DSRS upon some patients following a left nephrectomy, and the renal vein is of adequate caliber even in the presence of nonfunctioning kidneys.

Authors

Gong-liang J
No affiliation info available
Henderson JM
No affiliation info available
Millikan WJ
No affiliation info available
Warren WD
No affiliation info available

MeSH

AdultEsophageal and Gastric VaricesGastrointestinal HemorrhageHumansHypertension, PortalKidney Function TestsKidney TransplantationMaleMiddle AgedPortasystemic Shunt, SurgicalPostoperative ComplicationsRadiographyRenal VeinsSplenorenal Shunt, Surgical

Pub Type(s)

Case Reports
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

6362044

Citation

Gong-liang, J, et al. "Distal Splenorenal Shunt in Treatment of Bleeding Esophageal Varices in Renal Transplant Recipients." Surgery, Gynecology & Obstetrics, vol. 158, no. 1, 1984, pp. 17-21.
Gong-liang J, Henderson JM, Millikan WJ, et al. Distal splenorenal shunt in treatment of bleeding esophageal varices in renal transplant recipients. Surg Gynecol Obstet. 1984;158(1):17-21.
Gong-liang, J., Henderson, J. M., Millikan, W. J., & Warren, W. D. (1984). Distal splenorenal shunt in treatment of bleeding esophageal varices in renal transplant recipients. Surgery, Gynecology & Obstetrics, 158(1), 17-21.
Gong-liang J, et al. Distal Splenorenal Shunt in Treatment of Bleeding Esophageal Varices in Renal Transplant Recipients. Surg Gynecol Obstet. 1984;158(1):17-21. PubMed PMID: 6362044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Distal splenorenal shunt in treatment of bleeding esophageal varices in renal transplant recipients. AU - Gong-liang,J, AU - Henderson,J M, AU - Millikan,W J, AU - Warren,W D, PY - 1984/1/1/pubmed PY - 1984/1/1/medline PY - 1984/1/1/entrez SP - 17 EP - 21 JF - Surgery, gynecology & obstetrics JO - Surg Gynecol Obstet VL - 158 IS - 1 N2 - We conclude from this study that bleeding esophageal varices may occur as a late complication of liver disease associated with chronic renal failure and renal transplantation. In two of the three patients reported upon, the liver disease was probably determined on the basis of cirrhosis, secondary to chronic, active hepatitis from non-A, non-B hepatitis, while the third patient had hepatic fibrosis. Such bleeding is best controlled by selective variceal decompression with a DSRS. Finally, it is technically feasible to perform a DSRS upon some patients following a left nephrectomy, and the renal vein is of adequate caliber even in the presence of nonfunctioning kidneys. SN - 0039-6087 UR - https://www.unboundmedicine.com/medline/citation/6362044/Distal_splenorenal_shunt_in_treatment_of_bleeding_esophageal_varices_in_renal_transplant_recipients_ L2 - http://www.diseaseinfosearch.org/result/2658 DB - PRIME DP - Unbound Medicine ER -