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Conventional splenorenal shunts. A reconsideration.
- Source :
-
Archives of surgery (Chicago, Ill. : 1960) [Arch Surg] 1975 May; Vol. 110 (5), pp. 588-93. - Publication Year :
- 1975
-
Abstract
- From 1961 to 1971, 73 central splenorenal and 66 portacaval shunts were done for cirrhotic patients who had bled from esophageal varices. Comparative analysis revealed low (3% and 2%, respectively) operative mortality for elective operations, equal (93%) effectiveness in control of variceal bleeding, but substantial diferences in the incidence of postshunt encephalopathy. For patients who had mimal hepatic dysfunction before operation, disabling disorders in mentation developed in 5% of patients who had splenorenal shunts, in contrast to 50% of patients who had portacaval shunts. Survival rates after the two shunts were nearly identical. Thus, the advantages of splenorenal shunts concern the quality of life but not the length of survival. These observations are considered in relation to available therapeutic alternatives.
- Subjects :
- Activities of Daily Living
Brain Diseases mortality
Esophageal and Gastric Varices complications
Gastrointestinal Hemorrhage surgery
Humans
Liver Cirrhosis complications
Methods
Minnesota
Portacaval Shunt, Surgical
Postoperative Complications mortality
Prognosis
Retrospective Studies
Time Factors
Hypertension, Portal surgery
Renal Veins surgery
Splenic Vein surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0004-0010
- Volume :
- 110
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Archives of surgery (Chicago, Ill. : 1960)
- Publication Type :
- Academic Journal
- Accession number :
- 1079450
- Full Text :
- https://doi.org/10.1001/archsurg.1975.01360110134022