Comparative evaluation of selective and nonselective peripheral portosystemic shunts for treatment of variceal hemorrhage

American Journal of Surgery
D S Reiner, D L Kaminski

Abstract

There is currently available a variety of operative techniques that, by shunting of portal blood into the systemic circulation, decompress esophagogastric varices. Continued evaluation of when to employ a specific type of portosystemic shunt is indicated. This report compares experience with nonselective peripheral portosystemic shunts with selective distal splenorenal shunts. Twenty-nine patients were divided into two operative groups. All patients were operated on for variceal hemorrhage. The two patient groups were similar preoperatively in all parameters evaluated except that the patients having nonselective peripheral shunts had more ascites and four were operated on for acutely bleeding varices, whereas the selective shunt patients had minimal ascites and non were operated on for acute bleeding. Rebleeding rates, incidence of encephalopathy, and long-term survival were not significantly different between the two groups. Eight of 14 (57 percent) patients discharged from the hospital with selective distal splenorenal shunts were alive with a mean follow-up interval of 19 months. Eight of 11 (72 percent) patients discharged with nonselective peripheral shunts were alive with a mean follow-up interval of 34 months. These resu...Continue Reading

References

May 1, 1975·Annals of Surgery·T DrapanasJ B Dowling
May 1, 1977·Archives of Surgery·H S FiltzerF G Wolfort
Sep 1, 1978·Annals of Surgery·L F RikkersW D Warren
Jan 1, 1979·American Journal of Surgery·F A ReichleM Golsorkhi
May 1, 1978·American Journal of Surgery·W D Warren
Dec 1, 1975·American Journal of Surgery·B W ThompsonR E Casali
Aug 1, 1973·The British Journal of Surgery·G R GilesM S Losowsky
Nov 1, 1965·Archives of Surgery·J H FosterW L Dively
Jun 1, 1967·Annals of Surgery·W D WarrenR Zeppa
Jan 1, 1980·Archives of Surgery·D L Klaminski, W D Warren
Sep 1, 1980·World Journal of Surgery·G FourtanierJ Escat

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Citations

Aug 1, 1986·The British Journal of Surgery·K Peterson, G R Giles
Jan 1, 1993·Lasers in Surgery and Medicine·D F CikritM C Dalsing
Jan 1, 1984·Langenbecks Archiv für Chirurgie·H Denck

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