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[Are surgical shunts still indicated?].
Chirurg. 1995 Jun; 66(6):566-73.C

Abstract

The indication for portosystemic shunts has been influenced by endoscopic approaches, liver transplantation and TIPSS. Underlying disease and functional capacity of the liver are crucial for the therapeutic strategy in patients with esophageal variceal hemorrhage. In Child B and C cirrhosis results of liver transplantation are superior to surgical shunts. In transplantation candidates shunt surgery should not interfere with the transplantation procedure. Therefore, TIPSS, mesocaval shunt or Warren shunt are recommended. If transplantation is not indicated, surgical shunts are generally justified for intractable variceal bleeding. Due to the high mortality following surgical shunts TIPSS may be preferentially used in patients with Child C cirrhosis.

Authors+Show Affiliations

Otto G
Chirurgische Universitätsklinik Heidelberg.

MeSH

Esophageal and Gastric VaricesGastrointestinal HemorrhageHumansHypertension, PortalLiver CirrhosisLiver TransplantationPortasystemic Shunt, SurgicalPostoperative ComplicationsPrognosisRecurrenceSurvival Rate

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

7664585

Citation

Otto, G. "[Are Surgical Shunts Still Indicated?]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 66, no. 6, 1995, pp. 566-73.
Otto G. [Are surgical shunts still indicated?]. Chirurg. 1995;66(6):566-73.
Otto, G. (1995). [Are surgical shunts still indicated?]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 66(6), 566-73.
Otto G. [Are Surgical Shunts Still Indicated?]. Chirurg. 1995;66(6):566-73. PubMed PMID: 7664585.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Are surgical shunts still indicated?]. A1 - Otto,G, PY - 1995/6/1/pubmed PY - 1995/6/1/medline PY - 1995/6/1/entrez SP - 566 EP - 73 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 66 IS - 6 N2 - The indication for portosystemic shunts has been influenced by endoscopic approaches, liver transplantation and TIPSS. Underlying disease and functional capacity of the liver are crucial for the therapeutic strategy in patients with esophageal variceal hemorrhage. In Child B and C cirrhosis results of liver transplantation are superior to surgical shunts. In transplantation candidates shunt surgery should not interfere with the transplantation procedure. Therefore, TIPSS, mesocaval shunt or Warren shunt are recommended. If transplantation is not indicated, surgical shunts are generally justified for intractable variceal bleeding. Due to the high mortality following surgical shunts TIPSS may be preferentially used in patients with Child C cirrhosis. SN - 0009-4722 UR - https://www.unboundmedicine.com/medline/citation/7664585/[Are_surgical_shunts_still_indicated]_ L2 - https://medlineplus.gov/cirrhosis.html DB - PRIME DP - Unbound Medicine ER -