منابع مشابه
Narrow Versus Wide Diameter Portacaval H-Graft Shunts
arterioportal fistula after blunt hepatic trauma: case reports.plications associated with the use of peritoneal drains in liver traumas. Mandatory laparotomy for gunshot wounds penetrating the abdomen. Am. Objective. Results ofthe first prospective randomized clinical trial comparing partial and total portacaval shunt for variceal hemorrhage are reported. Summary Background Data. Total portacav...
متن کاملPartial Portacaval Shunt: Narrow Diameter H-Graft
Background. Partial diversion of the portal system aims to redeuce portal pressure sufficiently to prevent variceal hemorrhage but still maintain adwquate hepatic portal flow. Methods. Partial portacaval shunts were performed in 25 patients with cirrhosis with portal hypertension and esophageal varices, either as a primary procedure (n 16) or for failure of endoscopic sclerotherapy (n= 9), with...
متن کاملEmergency Portacaval Shunts: Is Orloff Correct?
randomized trial of emergency portacaval shunt and emergency medical therapy in unselected cirrhotic patients with bleeding varices. Hepatology; 20: 863-872. A prospective randomized trial was conducted in unselected, consecutive pateints with bleeding esophageal varices resulting from cirrhosis comparing (1) emergency portacaval shunt performed within 8 hr of initial contact (21 patients) with...
متن کاملEmergency Portacaval Shunts in Variceal Hemorrage: A Critique of Critics
A prospective evaluation was conducted of 94 unselected patients ("all comers") with biopsy-proven Child's class C cirrhosis (93% alcoholic) and endoscopically proven acutely bleeding esophageal varices who underwent emergency portacaval shunt (EPCS) (85% side-to-side, 15% end-to-side) within 8 hours of initial contact (mean, 6.1 hours) during the past 12 years. Follow-up has been 100% and incl...
متن کاملTransjugular intrahepatic portosystemic shunts (TIPS): a decade later.
Since the introduction of transjugular intrahepatic portosystemic shunt (TIPS) 10 years ago, it has been used increasingly in the management of portal hypertension and its complications. TIPS is now considered the procedure of choice for management of refractory variceal bleeding. Its role in the management of refractory ascites, hepatic hydrothorax, hepatorenal syndrome, and hepatopulmonary sy...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 2005
ISSN: 0003-4932
DOI: 10.1097/01.sla.0000151884.67600.b6