Affordable Access

[Elective portasystemic shunt: selection criteria, choice of procedure,results].

Authors
  • Hottenrott, C
  • Hanisch, E
Type
Published Article
Journal
Langenbecks Archiv für Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft für Chirurgie. Deutsche Gesellschaft für Chirurgie. Kongress
Publication Date
Jan 01, 1990
Pages
387–390
Identifiers
PMID: 1983577
Source
Medline
License
Unknown

Abstract

The results of conservative medical (propranolol) and endoscopic therapy for bleeding esophageal varices show that the surgical shunt is indicated in both, acute and elective situations. The portocaval end-to-side-shunt should be preferred for hemodynamic reasons. However, special selection of patients is required to prevent postoperative liver failure. Linton, Drapanas and Warren shunts have a higher recurrence rate, but seem more appropriate for liver transplantation candidates. In our own series, preoperative diagnostic shunt-simulation by balloon-occlusion of the portal vein via an umbilical catheter has tremendously improved the results, even for child C-patients.

Report this publication

Statistics

Seen <100 times