End-to-Side Splenorenal Shunt for Treatment of Portal Hypertension
- 1 March 1975
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 110 (3), 254-257
- https://doi.org/10.1001/archsurg.1975.01360090024005
Abstract
Twenty-eight patients with portal hypertension were treated with splenectomy and end-to-side splenorenal shunt. Nineteen had cirrhosis and nine had portal vein thrombosis. Among the patients with cirrhosis, there was one hospital death due to recurrent bleeding in a patient in whom shunt could not be constructed and only splenectomy was done. During the follow-up period, one patient developed encephalopathy and later died of liver failure. There were three additional deaths, one due to an unrelated cause and two due to liver failure. All the remaining patients are well and none has had recurrent bleeding. All the patients with portal vein thrombosis survived the operation and are well. None has had recurrent bleeding. Encouraged by these results, we continue to use end-to-side splenorenal shunt in all patients except small children.Keywords
This publication has 5 references indexed in Scilit:
- HYPERSPLENISM AND PORTAL HYPERTENSIONAnnals of the New York Academy of Sciences, 1970
- SURGICAL TREATMENT OF COMPLICATIONS OF PORTAL HYPERTENSIONAnnals of the New York Academy of Sciences, 1970
- THE PROGNOSIS AND MANAGEMENT OF BLEEDING ESOPHAGEAL VARICES*Annals of the New York Academy of Sciences, 1970
- Selective Trans-Splenic Decompression Of Gastroesophageal Varices By Distal Splenorenal ShuntAnnals of Surgery, 1967
- Critical Comparative Analysis of Early and Late Results of Splenorenal and Direct Portacaval Shunts Performed in 169 Patients with Portal CirrhosisAnnals of Surgery, 1961