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Distal splenorenal shunt for portal hypertension.
Ann Chir Gynaecol. 1981; 70(1):1-4.AC

Abstract

A distal splenorenal shunt was performed electively in 25 patients with bleeding oesophageal varices. Early postoperative mortality was 16%. During the follow-up period (mean 41 months) three patients died, one of liver insufficiency and two of cardiac complications. Two patients of 17 survivors (12%) had endoscopically demonstrable varices. One of these patients had one upper gastrointestinal rebleeding period. The actual three year survival was 71%. Reverse portal blood flow was demonstrated postoperatively in eight of 17 patients (47%). In these cases the distal splenorenal shunt had in fact slowly turned to a total shunt. Even though in certain patients the original selectivity of the shunt is lost it gives a good long-term variceal decompression and certainly is a useful alternative in the treatment of selected good risk patients for bleeding oesophageal varices.

Authors

Kallio H
No affiliation info available
Lempinen M
No affiliation info available

MeSH

AdultAgedEsophageal and Gastric VaricesFemaleFollow-Up StudiesGastrointestinal HemorrhageHumansHypertension, PortalMaleMiddle AgedPortasystemic Shunt, SurgicalPostoperative ComplicationsPostoperative PeriodSplenorenal Shunt, Surgical

Pub Type(s)

Journal Article

Language

eng

PubMed ID

6973313

Citation

Kallio, H, and M Lempinen. "Distal Splenorenal Shunt for Portal Hypertension." Annales Chirurgiae Et Gynaecologiae, vol. 70, no. 1, 1981, pp. 1-4.
Kallio H, Lempinen M. Distal splenorenal shunt for portal hypertension. Ann Chir Gynaecol. 1981;70(1):1-4.
Kallio, H., & Lempinen, M. (1981). Distal splenorenal shunt for portal hypertension. Annales Chirurgiae Et Gynaecologiae, 70(1), 1-4.
Kallio H, Lempinen M. Distal Splenorenal Shunt for Portal Hypertension. Ann Chir Gynaecol. 1981;70(1):1-4. PubMed PMID: 6973313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Distal splenorenal shunt for portal hypertension. AU - Kallio,H, AU - Lempinen,M, PY - 1981/1/1/pubmed PY - 1981/1/1/medline PY - 1981/1/1/entrez SP - 1 EP - 4 JF - Annales chirurgiae et gynaecologiae JO - Ann Chir Gynaecol VL - 70 IS - 1 N2 - A distal splenorenal shunt was performed electively in 25 patients with bleeding oesophageal varices. Early postoperative mortality was 16%. During the follow-up period (mean 41 months) three patients died, one of liver insufficiency and two of cardiac complications. Two patients of 17 survivors (12%) had endoscopically demonstrable varices. One of these patients had one upper gastrointestinal rebleeding period. The actual three year survival was 71%. Reverse portal blood flow was demonstrated postoperatively in eight of 17 patients (47%). In these cases the distal splenorenal shunt had in fact slowly turned to a total shunt. Even though in certain patients the original selectivity of the shunt is lost it gives a good long-term variceal decompression and certainly is a useful alternative in the treatment of selected good risk patients for bleeding oesophageal varices. SN - 0355-9521 UR - https://www.unboundmedicine.com/medline/citation/6973313/Distal_splenorenal_shunt_for_portal_hypertension_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -