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1,565 results
  • Renoportal anastomosis in living donor liver transplantation. [Case Reports]
    Hippokratia. 2019 Jul-Sep; 23(3):140-142.Kisaoglu A, Demiryilmaz I, … Aydinli B
  • CONCLUSIONS: In LT, for providing efficient portal flow to the graft, the RPAs should be considered as an option in case of extensive splanchnic vein thrombosis and large splenorenal shunt. Ensuring that graft volume is close to the recipient standard liver volume, RPA can be performed safely and effectively in LDLT as an acceptable and life-saving procedure. HIPPOKRATIA 2019, 23(3): 140-142.
  • How we should manage abnormal portal hemodynamics in living donor liver transplantation. [Letter]
    Liver Transpl. 2020 Jun 19 [Online ahead of print]Ikegami T, Furukawa K, … Gocho T
  • We enjoyed the article by Allard et al (1), evaluating the outcomes of the patients with spontaneous portosystemic shunts (SPSS) after living donor liver transplantation (LDLT), and found that the incidence of portal complications was 8.6% in patients with a splenorenal shunt (SRS) > 8 mm and 38.5% in those with portal vein thrombosis and SRS > 15 mm, although mortality was not increased. Their c…
  • Clinical Significance of Spontaneous Porto-systemic Shunts in Living Donor Liver Transplantation. [Journal Article]
    Liver Transpl. 2020 May 16 [Online ahead of print]Allard MA, Akamatsu N, … Hasegawa K
  • CONCLUSIONS: The present study suggests that large SPSS do not negatively affect the outcomes after LDLT, however, a large SRS is associated with a higher risk of portal complications, particularly in recipients with pre-LT PVT, for whom intraoperative intervention for SRS should be considered. Otherwise, a conservative approach to SPSS during LDLT seems reasonable.
  • Spontaneous porto-systemic shunts in liver cirrhosis: Clinical and therapeutical aspects. [Review]
    World J Gastroenterol. 2020 Apr 21; 26(15):1726-1732.Nardelli S, Riggio O, … Ridola L
  • Spontaneous porto-systemic shunts (SPSS) are frequent in liver cirrhosis and their prevalence increases as liver function deteriorates, probably as a consequence of worsening portal hypertension, but without achieving an effective protection against cirrhosis' complications. Several types of SPSS have been described in the literature, each one associated with different clinical manifestations. In…
  • Oesophageal Variceal-Pulmonary Venous Fistula A Rare Cause of a Right-to-Left Shunt. [Journal Article]
    Eur J Case Rep Intern Med. 2020; 7(4):001482.Swaminathan N, Chaudhary S
  • Oesophageal varices are a dilated submucosal venous plexus in the lower third of the oesophagus which result from increased pressure in the portal venous system. The portal system is connected to the systemic circulation in specific locations referred to as sites of portosystemic anastomosis. An increase in portal venous pressure is therefore reflected at these anastomotic sites, causing manifest…
  • H-shaped partial splenorenal shunting with the use of a reinforced graft made of porous polytetrafluoroethylene. [Journal Article]
    Angiol Sosud Khir. 2020; 26(1):103-112.Voskanian SÉ, Shabalin MV, … Bashkov AN
  • CONCLUSIONS: This method of splenorenal shunting makes it possible to decrease the risk of bleeding from oesophageal varices and venous thromboses in vascular anastomoses, as well as complications resulting from using autovenous conduits, to decrease the risk of decomposition of hepatic insufficiency and the frequency of the development of encephalopathy in the postoperative period. Besides, this method makes it possible to easily dismantle the previously created artificial portocaval shunt in the process of liver transplantation.
  • Distal Splenorenal Shunt (DSRS) in Children with Extrahepatic Portal Hypertension. [Journal Article]
    J Coll Physicians Surg Pak. 2019 Dec; 29(12):1228-1229.Rehman ZU, Nazir Z
  • Portal hypertension (PH) is infrequent in children as compared to adults. Currently, repetitive endoscopic ablation of varices is standard treatment. However, endoscopic facilities are not readily available in resource-limited settings. We reviewed the indications, operative morbidity, mortality, shunt patency and re-bleeding episodes in nine patients (age range 6-16 years, M:F 6:3) who had DSRS …
  • [A case of gastric antral vascular ectasia improved by splenorenal shunt embolization]. [Case Reports]
    Nihon Shokakibyo Gakkai Zasshi. 2019; 116(10):817-825.Hamada K, Ito T, … Toyota I
  • An 80-year-old man with chronic renal failure and a splenorenal shunt was admitted because of progressive anemia. Gastrointestinal endoscopy revealed bleeding from a gastric antral vascular ectasia (GAVE). Despite treatment with argon plasma coagulation and blood transfusions on multiple occasions, anemia caused by GAVE bleeding recurred frequently. The GAVE improved after splenorenal shunt embol…
  • Results of portosystemic shunts during extended pancreatic resections. [Journal Article]
    Langenbecks Arch Surg. 2019 Dec; 404(8):959-966.Oehme F, Distler M, … Welsch T
  • CONCLUSIONS: Portosystemic shunting at the time of extended pancreatectomy is technically challenging but feasible and enables complete tumour resection in cases in which standard vascular reconstruction is limited by cavernous transformation or to prevent sinistral portal hypertension with acceptable morbidity in selected cases. Considering the limited overall survival, the potential individual patient benefit needs to be weighed against the considerable morbidity of advanced tumour resections.
  • Proximal Splenorenal Shunt in a Rare Renal Vein Anomaly: A Case Report. [Case Reports]
    Cureus. 2019 May 25; 11(5):e4754.Biju P, Midha K, … Gnanasekaran S
  • Left renal vein (LRV) has been considered as the most suitable vein for proximal splenorenal shunt (PSRS), a commonly performed shunt for non-cirrhotic portal hypertension. Anatomical anomalies in LRV that can pose technical difficulty during shunt procedure are reported in 10% cases. We report a rare anomaly of LRV which precluded performance of standard end-to-side proximal splenorenal shunt an…
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