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[The Chang mesocaval side-to-side shunt, an alternative shunt form after previous operations and portal vein thrombosis].
Zentralbl Chir. 1994; 119(11):798-802; discussion 803-4.ZC

Abstract

Over the time period from July 01, 1983 to June 01, 1993, 15 patients with portal hypertension and relapsing bleedings from esophageal varicosis were treated with Chang's mesocaval side-to-side shunt at the Department of General Surgery, University Hospital of Göttingen. All patients were pre-operated in the upper abdomen or exhibited thrombosis of the portal vein. While five cases revealed a prehepatic block, ten patients had an intrahepatic block, based on cirrhosis of the liver (Child classification A or B). The time required for operations was 180 +/- 32 minutes; the pressure in the portal circulation decreased by 56%. In three cases, patients suffered relapsing bleedings despite of regular shunt conditions. Complications which were due to the procedure were seen in two patients (one revealed intraabdominal posthemorrhage, followed by therapy-resistant coagulopathy; the other patient exhibited stenosis of the anastomosis). One patient developed encephalopathy. Given a rigid indication, we regard the procedure described herein an alternative to the mesocaval interposition shunt, and we consider the low rate of thrombosis (so far < 10%) without continued postoperative anticoagulant therapy as well as the avoidance of an interposition as important advantages of this technique.

Authors+Show Affiliations

Schlemminger R
Chirurgische Klinik und Poliklinik, Georg-August-Universität Göttingen.
Köhler H
No affiliation info available
Lepsien G
No affiliation info available
Peiper HJ
No affiliation info available

MeSH

AdolescentAdultAnastomosis, SurgicalEsophageal and Gastric VaricesFemaleFollow-Up StudiesGastrointestinal HemorrhageHumansHypertension, PortalMaleMesenteric Artery, SuperiorMiddle AgedPortal VeinPortasystemic Shunt, SurgicalPostoperative ComplicationsRecurrenceSurvival RateSuture TechniquesThrombosisVena Cava, Inferior

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

7846959

Citation

Schlemminger, R, et al. "[The Chang Mesocaval Side-to-side Shunt, an Alternative Shunt Form After Previous Operations and Portal Vein Thrombosis]." Zentralblatt Fur Chirurgie, vol. 119, no. 11, 1994, pp. 798-802; discussion 803-4.
Schlemminger R, Köhler H, Lepsien G, et al. [The Chang mesocaval side-to-side shunt, an alternative shunt form after previous operations and portal vein thrombosis]. Zentralbl Chir. 1994;119(11):798-802; discussion 803-4.
Schlemminger, R., Köhler, H., Lepsien, G., & Peiper, H. J. (1994). [The Chang mesocaval side-to-side shunt, an alternative shunt form after previous operations and portal vein thrombosis]. Zentralblatt Fur Chirurgie, 119(11), 798-802; discussion 803-4.
Schlemminger R, et al. [The Chang Mesocaval Side-to-side Shunt, an Alternative Shunt Form After Previous Operations and Portal Vein Thrombosis]. Zentralbl Chir. 1994;119(11):798-802; discussion 803-4. PubMed PMID: 7846959.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The Chang mesocaval side-to-side shunt, an alternative shunt form after previous operations and portal vein thrombosis]. AU - Schlemminger,R, AU - Köhler,H, AU - Lepsien,G, AU - Peiper,H J, PY - 1994/1/1/pubmed PY - 1994/1/1/medline PY - 1994/1/1/entrez SP - 798-802; discussion 803-4 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 119 IS - 11 N2 - Over the time period from July 01, 1983 to June 01, 1993, 15 patients with portal hypertension and relapsing bleedings from esophageal varicosis were treated with Chang's mesocaval side-to-side shunt at the Department of General Surgery, University Hospital of Göttingen. All patients were pre-operated in the upper abdomen or exhibited thrombosis of the portal vein. While five cases revealed a prehepatic block, ten patients had an intrahepatic block, based on cirrhosis of the liver (Child classification A or B). The time required for operations was 180 +/- 32 minutes; the pressure in the portal circulation decreased by 56%. In three cases, patients suffered relapsing bleedings despite of regular shunt conditions. Complications which were due to the procedure were seen in two patients (one revealed intraabdominal posthemorrhage, followed by therapy-resistant coagulopathy; the other patient exhibited stenosis of the anastomosis). One patient developed encephalopathy. Given a rigid indication, we regard the procedure described herein an alternative to the mesocaval interposition shunt, and we consider the low rate of thrombosis (so far < 10%) without continued postoperative anticoagulant therapy as well as the avoidance of an interposition as important advantages of this technique. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/7846959/[The_Chang_mesocaval_side_to_side_shunt_an_alternative_shunt_form_after_previous_operations_and_portal_vein_thrombosis]_ L2 - http://www.diseaseinfosearch.org/result/5884 DB - PRIME DP - Unbound Medicine ER -