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[Shunt surgery in portal hypertension. Pathophysiology and indications].
Radiologe. 1994 Apr; 34(4):191-5.R

Abstract

Portosystemic shunts are well established methods of avoiding recurrent hemorrhage from esophageal varices. Hemodynamic aspects and clinical results suggest that distal splenorenal shunts should be preferred over non-selective shunts. The functional capacity of the liver is crucial for any type of shunt. In patients with Child C cirrhosis, mortality is known to be particularly high following an emergency shunt so that, this procedure is recommended only as a rescue operation. Although prophylactic shunting decreases the risk of bleeding from varices, it leads to higher liver-related mortality. Prophylactic shunts are, therefore, indicated only in exceptional cases.

Authors+Show Affiliations

Chirurgische Universitätsklinik Heidelberg.No affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

8052712

Citation

Otto, G, and S Post. "[Shunt Surgery in Portal Hypertension. Pathophysiology and Indications]." Der Radiologe, vol. 34, no. 4, 1994, pp. 191-5.
Otto G, Post S. [Shunt surgery in portal hypertension. Pathophysiology and indications]. Radiologe. 1994;34(4):191-5.
Otto, G., & Post, S. (1994). [Shunt surgery in portal hypertension. Pathophysiology and indications]. Der Radiologe, 34(4), 191-5.
Otto G, Post S. [Shunt Surgery in Portal Hypertension. Pathophysiology and Indications]. Radiologe. 1994;34(4):191-5. PubMed PMID: 8052712.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Shunt surgery in portal hypertension. Pathophysiology and indications]. AU - Otto,G, AU - Post,S, PY - 1994/4/1/pubmed PY - 1994/4/1/medline PY - 1994/4/1/entrez SP - 191 EP - 5 JF - Der Radiologe JO - Radiologe VL - 34 IS - 4 N2 - Portosystemic shunts are well established methods of avoiding recurrent hemorrhage from esophageal varices. Hemodynamic aspects and clinical results suggest that distal splenorenal shunts should be preferred over non-selective shunts. The functional capacity of the liver is crucial for any type of shunt. In patients with Child C cirrhosis, mortality is known to be particularly high following an emergency shunt so that, this procedure is recommended only as a rescue operation. Although prophylactic shunting decreases the risk of bleeding from varices, it leads to higher liver-related mortality. Prophylactic shunts are, therefore, indicated only in exceptional cases. SN - 0033-832X UR - https://www.unboundmedicine.com/medline/citation/8052712/[Shunt_surgery_in_portal_hypertension__Pathophysiology_and_indications]_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -