Elective Portasystemic Shunts

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Should Portasystemic Shunts be Avoided in Potential Liver Transplant Candidates?

Brems, J.J. Hiatt, J. R. Klein, A. S. Millis, J. M. Colonna, J. O. Quinones-Baldrich, W.J., Ramming, K.P. and Busuttil, R.W. (1989) Effect of a prior portasystemic shunt on subsequent liver transplantation. Annals of Surgery, 209, 51-56 Fifteen patients who had a prior portasystemic shunt underwent orthotopic liver transplantation. Shunt types were portacaval in six patients, II-graft mesocaval...

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Emergency Portasystemic Shunting in Cirrhotics With Bleeding Varices — A Comparison of Portacaval and Mesocaval Shunts

Despite the best conservative measures available for the control of major variceal hemorrhage, some patients either continue to bleed, or rebleed early, and require emergency surgery. One hundred patients with cirrhosis and uncontrolled bleeding were treated with emergency portasystemic shunts between 1968 and 1983. Fifty eight patients had end-to-side portacaval shunts and 42 had Dacron interp...

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Transplantation in Patients with Previous Portasystemic Shunt

Over a 9-yt'ar period, 58 patients who had pre"ious portasyslemic shunt procedures unden-ent orthotopic liver transplantation (OtTx) under a cyclosporine-steroid immunosuppresshe regimen. The types of shunt used were distal splenorenal (18 patients), mesocaval (17 patients). end-to-side portacaval (II patients). side-to-side portaca,'al (5 patients) and proximal splenorenal (7 patients). The me...

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Does multiple injection sclerotherapy have a role in the long-term management of oesophageal varices?

Sixty-nine cirrhotic patients were treated by injection sclerotherapy for bleeding oesophageal varices, with an emergency hospital mortality, from all causes, of 29%. The treatment of 35 of these continued with elective, long-term injections alone: 9 have so far survived more than 3 years, the longest being 5 years 4 months. The risk factor for rebleeding per patient month was 0-03 and, with it...

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Extracorporeal portal decompression using a graphite-benzalkonium-heparin shunt.

TREATMENT of bleeding esophageal varices remains a difficult problem. A significant number of patients with this condition are not suitable for emergency portasystemic venous shunt operations. Recent reports describe the usefulness of dilated umbilical veins in humans as an entry to the portal system for hepatoportography.1 7,8 XWhite,13 Piccone,9 and Christophersen 2 and co-workers used the um...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1971

ISSN: 0003-4932

DOI: 10.1097/00000658-197107010-00013