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 کاملEffect of acute ammonia intoxication on cerebral metabolism in rats with portacaval shunts.
Rats were made chronically hyperammonemic by portal-systemic shunting and, 8 wk later, were subjected to acute ammonia intoxication by the intraperitoneal injection of 5.2 mmol/kg of ammonium acetate. In free-ranging animals, ammonia treatment induced a brief period of precoma (10-15 min) that progressed into deep, anesthetic coma lasting for several hours and was associated with a high mortali...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1968
ISSN: 0003-4932
DOI: 10.1097/00000658-196808000-00004