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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

Otto G
Chirurgische Universitätsklinik Heidelberg.
Post S
No affiliation info available

MeSH

CatheterizationEsophageal and Gastric VaricesGastrointestinal HemorrhageHemodynamicsHepatic VeinsHumansHypertension, PortalJugular VeinsPortal VeinPortasystemic Shunt, SurgicalRecurrenceStents

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 -