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Distal splenorenal shunt (DSS) in children: analysis of the first 21 consecutive cases.
Ann Surg. 1982 Apr; 195(4):401-5.AnnS

Abstract

Twenty-one children from the ages of 4 to 12 years old were treated for esophageal hemorrhage by distal splenorenal shunt (DSS). In four patients, thrombosis of the shunt occurred within the first 24 hours after operation. In the other 17 children, long-term shunt patency was verified. Only one thrombosis has occurred in the last 15 consecutive cases. The patients were followed from one-half to six years. Late angiographic studies were performed in five patients. Forward flow through the portal vein was demonstrated in all patients. In addition, collateralization between the portomesenteric (PM) and gastrosplenic (GS) compartments was present in each case. In four patients with a wide-open shunt, the direction of collateral flow was from the PM to the GS compartment. In one child in whom the shunt was partially obstructed, the flow was from the GS to the PM compartment. In all 17 successful cases, esophageal variceal hemorrhage ceased, and there were no instances of hepatic encephalopathy. It is concluded that DSS is a safe and effective surgical procedure for the treatment of esophageal bleeding in children.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

6978110

Citation

Maksoud, J G., and S Mies. "Distal Splenorenal Shunt (DSS) in Children: Analysis of the First 21 Consecutive Cases." Annals of Surgery, vol. 195, no. 4, 1982, pp. 401-5.
Maksoud JG, Mies S. Distal splenorenal shunt (DSS) in children: analysis of the first 21 consecutive cases. Ann Surg. 1982;195(4):401-5.
Maksoud, J. G., & Mies, S. (1982). Distal splenorenal shunt (DSS) in children: analysis of the first 21 consecutive cases. Annals of Surgery, 195(4), 401-5.
Maksoud JG, Mies S. Distal Splenorenal Shunt (DSS) in Children: Analysis of the First 21 Consecutive Cases. Ann Surg. 1982;195(4):401-5. PubMed PMID: 6978110.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Distal splenorenal shunt (DSS) in children: analysis of the first 21 consecutive cases. AU - Maksoud,J G, AU - Mies,S, PY - 1982/4/1/pubmed PY - 1982/4/1/medline PY - 1982/4/1/entrez SP - 401 EP - 5 JF - Annals of surgery JO - Ann Surg VL - 195 IS - 4 N2 - Twenty-one children from the ages of 4 to 12 years old were treated for esophageal hemorrhage by distal splenorenal shunt (DSS). In four patients, thrombosis of the shunt occurred within the first 24 hours after operation. In the other 17 children, long-term shunt patency was verified. Only one thrombosis has occurred in the last 15 consecutive cases. The patients were followed from one-half to six years. Late angiographic studies were performed in five patients. Forward flow through the portal vein was demonstrated in all patients. In addition, collateralization between the portomesenteric (PM) and gastrosplenic (GS) compartments was present in each case. In four patients with a wide-open shunt, the direction of collateral flow was from the PM to the GS compartment. In one child in whom the shunt was partially obstructed, the flow was from the GS to the PM compartment. In all 17 successful cases, esophageal variceal hemorrhage ceased, and there were no instances of hepatic encephalopathy. It is concluded that DSS is a safe and effective surgical procedure for the treatment of esophageal bleeding in children. SN - 0003-4932 UR - https://www.unboundmedicine.com/medline/citation/6978110/Distal_splenorenal_shunt__DSS__in_children:_analysis_of_the_first_21_consecutive_cases_ L2 - https://Insights.ovid.com/pubmed?pmid=6978110 DB - PRIME DP - Unbound Medicine ER -