Abstract：
BACKGROUND:Splenocaval shunts have been used in this hospital since 1974 as an alternative to the distal splenorenal shunt. This report will detail the long-term results with this operation. METHODS:Thirty-three patients who were subjected to selective splenocaval shunts for treatment of hemorrhagic portal hypertension are reported. Mean age was 48.4 years. Twenty patients were women. Twenty-seven patients were in Child class A and six were in Child class B. RESULTS:There were five postoperative deaths. Two patients experienced rebleeding. One patient had shunt obstruction and one patient had severe clinical encephalopathy. Actuarial survival rate was 54.9% at 5 years and was 47.5% at 15 years. At the time of evaluation 12 patients were alive and well (shortest observation period, 2 months and longest observation period, 173 months). One of these patients has mild encephalopathy. CONCLUSIONS:Selective splenocaval shunts are a good alternative for treatment of hemorrhagic portal hypertension in patients with good liver function.
journal_name
Surgeryjournal_title
Surgeryauthors
Orozco H,Mercado MA,Takahashi T,Capellan F,Rojas G,Chan Csubject
Has Abstractpub_date
1993-03-01 00:00:00pages
260-5issue
3eissn
0039-6060issn
1532-7361pii
0039-6060(93)90199-Njournal_volume
113pub_type
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