Interposition grafting for portal hypertension

American Journal of Surgery
B W ThompsonR E Casali

Abstract

During the past six years, thirty-seven patients underwent interposition graft shunting for thirty-three instances of bleeding from varices and five instances of intractable ascites, either electively (twenty-seven instances) or as an emergency (eleven instances). Autogenous jugular vein was used in twenty-five instances, homologous vena cava in nine, and Dacron in four. Portacaval and mesocaval anastomoses were done in equal numbers (nineteen). Using Childs' method of clinical evaluation, thirty-three patients were Class C and four Class B. There were five (13.2 per cent) early deaths with one (3.5 per cent) in the elective and four (36 per cent) in the emergency group. Twelve grafts were open at autopsy, fifteen at splenoportography, and seven assumed patent because patients were asymptomatic. Two Dacron grafts and two homografts thrombosed. There were ten late deaths, only one related to graft failure. Apparently, the operation controls ascites, with autogenous jugular vein being the ideal material. Interposition grafting is a simple, safe procedure that can be used for portal decompression in patients with bleeding varices.

References

Apr 1, 1974·Archives of Surgery·B W Thompson, R C Read
Jun 27, 1974·The New England Journal of Medicine·T B Reynolds
Aug 1, 1973·The British Journal of Surgery·P GeorgeS Sherlock
Aug 1, 1973·The British Journal of Surgery·R N PughR Williams
Dec 1, 1970·Archives of Surgery·R C ReadM L Murphy
Oct 12, 1961·The New England Journal of Medicine·G E WANTZ, M A PAYNE

❮ Previous
Next ❯

Citations

Jul 8, 1976·The New England Journal of Medicine·R A Malt
May 1, 1978·Annals of Surgery·B W ThompsonG S Campbell
Dec 1, 2009·Journal of Pediatric Surgery·Christophe ChardotAlain Lachaux
Dec 1, 1978·The Journal of Surgical Research·L F Hiratzka, C B Wright
Sep 1, 1980·World Journal of Surgery·G FourtanierJ Escat
Jul 1, 1981·The British Journal of Surgery·M S FletcherR Williams
Aug 1, 1985·The Australian and New Zealand Journal of Surgery·I E McInnesF J Dudley

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.