Compartmentalized gastrosplenic and mesenteric venous hypertension after distal splenorenal shunt occlusion: response to mesocaval shunt and splenectomy.

Abstract:

:This is a report of a patient with a thrombosed Warren shunt and recurrent variceal hemorrhage who demonstrated compartmentalized venous hypertension in the mesenteric and gastrosplenic systems. Although the mesenteric presssure was normalized by the construction of a mesocaval interposition shunt, the gastrosplenic venous pressure remained elevated until splenectomy was performed. Warren shunt occlusion should be considered as a cause of segmental portal hypertension. Splenectomy may be a necessary adjunct in patients suitable for reshunting.

journal_name

Surgery

journal_title

Surgery

authors

Law DK,Moore EE

subject

Has Abstract

pub_date

1979-05-01 00:00:00

pages

579-82

issue

5

eissn

0039-6060

issn

1532-7361

journal_volume

85

pub_type

杂志文章

相关文献

SURGERY文献大全
  • Arterial occlusive disease: a function of vessel bifurcation angle.

    abstract::A clinical observation that patients with aortoiliac occlusive disease have a high aortic bifurcation serves as the stimulus for this study. A review of 100 consecutive abdominal aortograms revealed that patients with occlusive disease had an average bifurcation angle of 38 degrees and those with normal studies or ane...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Sharp WV,Donovan DL,Teague PC,Mosteller RD

    更新日期:1982-06-01 00:00:00

  • Quality of post-treatment surveillance of early stage breast cancer in Texas.

    abstract:BACKGROUND:Only annual mammography and physical examination are recommended for the post-treatment surveillance of early stage breast cancer. METHODS:We used Texas Cancer Registry-Medicare linked data (2001-2007) to identify physician visits and use of mammography, magnetic resonance imaging (MRI), computed tomography...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2013.04.004

    authors: Parmar AD,Sheffield KM,Vargas GM,Han Y,Chao C,Riall TS

    更新日期:2013-08-01 00:00:00

  • Overexpression of TTF-1 and PAX-8 restores thyroglobulin gene promoter activity in ARO and WRO cell lines.

    abstract:BACKGROUND:In anticipation of developing gene therapy against thyroid carcinoma we created an expression vector using the thyroglobulin (Tg) gene promoter. The inhibition of both Tg and thyroid-specific transcription factor (TTF-1 and PAX-8) gene expression, however, has been well documented in thyroid carcinomas. We t...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.1998.92008

    authors: Chun YS,Saji M,Zeiger MA

    更新日期:1998-12-01 00:00:00

  • Nonoperative management of blunt hepatic trauma in adults.

    abstract::Although well accepted in pediatric patients, nonoperative management of blunt hepatic trauma in adults remains controversial. From January 1981 through May 1987, 66 adults were identified with blunt hepatic trauma that had been confirmed by abdominal exploration or abdominal computed tomography (CT): 46 underwent imm...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Farnell MB,Spencer MP,Thompson E,Williams HJ Jr,Mucha P Jr,Ilstrup DM

    更新日期:1988-10-01 00:00:00

  • Effect of electrical stimulation on diaphragmatic muscle used to enlarge right ventricle.

    abstract::The effect of chronic electrical stimulation on muscle mass of pedicled diaphragmatic muscle grafts (DMGs) implanted into the right ventricle was studied in 21 dogs. Nineteen dogs, followed up to 70 days (mean, 34 days), were divided into three groups. In six dogs (control) the DMG was not stimulated. In six other dog...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Macoviak JA,Stephenson LW,Alavi A,Kelly AM,Edmunds LH Jr

    更新日期:1981-08-01 00:00:00

  • Prospective evaluation by computed tomography and pulmonary function tests of children with mediastinal masses.

    abstract:BACKGROUND:Our ability to predict respiratory compromise during general anesthesia in a child with an anterior mediastinal mass is limited. Two prior reports have found a correlation between adequacy of ventilation during general anesthesia and the tracheal cross-sectional area obtained from computed tomograms (compute...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(05)80360-5

    authors: Shamberger RC,Holzman RS,Griscom NT,Tarbell NJ,Weinstein HJ,Wohl ME

    更新日期:1995-09-01 00:00:00

  • Cost-effectiveness analysis in surgery.

    abstract:BACKGROUND:With tighter constraints on health care spending, many recognize the need to identify and restrict clinical interventions that are not cost-effective. As a result, cost-effectiveness analysis is being used increasingly to assess the relative value of surgical interventions. METHODS AND RESULTS:We first pres...

    journal_title:Surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Finlayson SR,Birkmeyer JD

    更新日期:1998-02-01 00:00:00

  • Assessing the experience in complex hepatopancreatobiliary surgery among graduating chief residents: is the operative experience enough?

    abstract:INTRODUCTION:Resident operative autonomy and case volume is associated with posttraining confidence and practice plans. Accreditation Council for Graduate Medical Education requirements for graduating general surgery residents are four liver and three pancreas cases. We sought to evaluate trends in resident experience ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2014.03.006

    authors: Sachs TE,Ejaz A,Weiss M,Spolverato G,Ahuja N,Makary MA,Wolfgang CL,Hirose K,Pawlik TM

    更新日期:2014-08-01 00:00:00

  • Functional polymorphism of NFKB1 promoter may correlate to the susceptibility of gastric cancer in aged patients.

    abstract:BACKGROUND:Activated nuclear factor-kappaB (NF-kappaB) is associated reportedly with the pathogenesis of numerous malignancies. This study investigated whether a common insertion (ins)/deletion (del) polymorphism (-94 ins/del ATTG) in the NFKB1 promoter is associated with susceptibility to gastric cancer and its tumor ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2008.11.001

    authors: Lo SS,Chen JH,Wu CW,Lui WY

    更新日期:2009-03-01 00:00:00

  • Thyrotropin binding and adenylate cyclase stimulation in thyroid neoplasms.

    abstract::Experiments were performed to determine whether thyroid-stimulating hormone (TSH) receptors coupled to adenylate cyclase are present in both benign and differentiated malignant thyroid tumors, and to identify abnormalities in the TSH receptor-adenylate cyclase system in neoplastic thyroid tissue. TSH binding and adeny...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Clark OH,Gerend PL,Cote TC,Nissenson RA

    更新日期:1981-08-01 00:00:00

  • An automatic autotransfusion system with a centrifugal pump: a hematologic evaluation in dogs.

    abstract::The requirements that have to be met by an on-line autotransfusion system (ATS) in case of massive blood loss are a sufficient capacity for reinfusing the shed blood, an optimal hemocompatibility, ability to prevent reinfusion of aspirated air, and ease of operation. In a previous study we tested a diaphragm pump in o...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: ten Duis HJ,Harder MP,Wabeke E,Elstrodt J,Wildevuur CR

    更新日期:1988-01-01 00:00:00

  • The pitfalls of inguinal herniorrhaphy: Surgeon volume matters.

    abstract:BACKGROUND:There is currently little information regarding the impact of procedure volume on outcomes after open inguinal hernia repair in the United States. Our hypothesis was that increasing procedure volume is associated with lesser rates of reoperation and resource use. METHODS:The database of the Statewide Planni...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2015.03.058

    authors: Aquina CT,Probst CP,Kelly KN,Iannuzzi JC,Noyes K,Fleming FJ,Monson JR

    更新日期:2015-09-01 00:00:00

  • Operative outcome of colon interposition in the treatment of esophageal cancer: a 20-year experience.

    abstract:BACKGROUND:In patients with esophageal cancer and a history of gastric surgery, colonic interposition is the treatment of choice. Our aim was to review our experience with this technique and to identify possible predictors of the clinical outcome. METHODS:Between 1986 and 2006, 43 patients underwent esophageal reconst...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2009.10.045

    authors: Klink CD,Binnebösel M,Schneider M,Ophoff K,Schumpelick V,Jansen M

    更新日期:2010-04-01 00:00:00

  • Diarrhea after resection of advanced abdominal neuroblastoma: a common management problem.

    abstract:BACKGROUND:After resection of advanced abdominal neuroblastoma, children may have persistent postoperative diarrhea. Until recently, the magnitude of this problem had not been appreciated. METHODS:To assess the incidence, severity, and management of chronic postoperative diarrhea in these patients, we reviewed the cas...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.1998.88092

    authors: Rees H,Markley MA,Kiely EM,Pierro A,Pritchard J

    更新日期:1998-05-01 00:00:00

  • The effects of cyclosporine on varying segments of small-bowel grafts in the rat.

    abstract::The relationship between the cyclosporine A (CSA) dose and rejection of varying lengths of small-bowel grafts was studied in a rat heterotopic microsurgical small-bowel transplantation model involving a haploidentical strain combination. When Lewis X Brown Norway F1 hybrid (LBN) small-bowel grafts were transplanted in...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Kimura K,Money SR,Jaffe BM

    更新日期:1988-07-01 00:00:00

  • Duodenoesophageal reflux and the development of esophageal adenocarcinoma in rats.

    abstract:BACKGROUND:The carcinogenic effect of duodenoesophageal reflux, gastroesophageal reflux, and nitrosamines was studied in the rat esophagus. METHODS:Twenty male Sprague-Dawley rats underwent esophagogastroplasty to produce gastroesophageal reflux and 60 underwent duodenoesophageal anastomosis to produce duodenoesophage...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Attwood SE,Smyrk TC,DeMeester TR,Mirvish SS,Stein HJ,Hinder RA

    更新日期:1992-05-01 00:00:00

  • Response of an abdominal aortic thrombotic occlusion to local low-dose streptokinase therapy.

    abstract::Local low-dose streptokinase infusion (5000 to 6000 IU/hr) as compared to systemic streptokinase infusion (loading dose 250,000 IU/hr, maintenance dose 100,000 IU/hr) successfully relieved a total thrombotic abdominal aortic occlusion. No complications of bleeding or distal embolization occurred during streptokinase t...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Cunningham MW,May S,Tucker WY,Gerlock AJ Jr

    更新日期:1983-04-01 00:00:00

  • Results of reoperation for hyperparathyroidism, with evaluation of preoperative localization studies.

    abstract::During the past 3 years (June, 1974, to July, 1977), 51 patients underwent reoperation for persistent or recurrent hyperparathyroidism at the Mayo Clinica. The overall success rate for cervical reoperation was 72% and for mediastinal reoperation, was 64%. Arteriography alone provided accurate preoperative localization...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Edis AJ,Sheedy PF,Beahrs OH,van Heerden JA

    更新日期:1978-09-01 00:00:00

  • Hypoglycemia after resection of pheochromocytoma.

    abstract:BACKGROUND:Hypoglycemia after resection of pheochromocytoma is a rare and poorly understood complication thought to be secondary to rebound hyperinsulinemia and increased peripheral glucose uptake. We examined the incidence of this complication and aimed to identify predisposing risk factors. METHODS:Patients who unde...

    journal_title:Surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.surg.2014.08.020

    authors: Chen Y,Hodin RA,Pandolfi C,Ruan DT,McKenzie TJ

    更新日期:2014-12-01 00:00:00

  • Incidentally discovered adrenal tumors: an institutional perspective.

    abstract::With the aim of developing guidelines for investigation and management of adrenal incidentalomas, 2066 patients with adrenal masses were analyzed from a total of 61,054 computerized tomographic (CT) scans done from 1985 through 1989. Excluding patients with previous or concurrent malignancies, adrenal tumors localized...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Herrera MF,Grant CS,van Heerden JA,Sheedy PF,Ilstrup DM

    更新日期:1991-12-01 00:00:00

  • Right population, right resources, right algorithm: Using machine learning efficiently and effectively in surgical systems where data are a limited resource.

    abstract::There is a growing interest in using machine learning algorithms to support surgical care, diagnostics, and public health surveillance in low- and middle-income countries. From our own experience and the literature, we share several lessons for developing such models in settings where the data necessary for algorithm ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2020.11.043

    authors: Eyler Dang L,Hubbard A,Dissak-Delon FN,Chichom Mefire A,Juillard C

    更新日期:2021-01-04 00:00:00

  • Can skills coaches be used to assess resident performance in the skills laboratory?

    abstract:INTRODUCTION:The purpose of this study was to compare faculty ratings between live versus video-recorded resident performances and faculty versus skills coaches' ratings of video-recorded resident performances. METHODS:PGY1 residents were observed, video-recorded, and rated during a Verification of Proficiency examina...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2012.03.016

    authors: Rooney DM,Hungness ES,Darosa DA,Pugh CM

    更新日期:2012-06-01 00:00:00

  • Neutrophil CR3 induction by platelet supernatants is due to platelet-derived growth factor.

    abstract::Recently, serum was shown to contain a factor that increased expression of the complement receptor CR3 on neutrophil membranes. This factor was localized to platelet granules and was released during coagulation. This study was undertaken to identify this factor in platelet granules. Platelet supernatants containing gr...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Lanser ME,Brown GE,Garcia-Aguilar J

    更新日期:1988-08-01 00:00:00

  • Tertiary hyperparathyroidism: is less than a subtotal resection ever appropriate? A study of long-term outcomes.

    abstract:BACKGROUND:Our aim was to examine the outcomes of patients with tertiary hyperparathyroidism (3-HPT) who had limited resection of 1 or 2 parathyroids. METHODS:We reviewed 140 patients with 3-HPT who underwent parathyroidectomy (PTX) at a single institution. Patients were analyzed according to their operation-limited P...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2009.09.026

    authors: Pitt SC,Panneerselvan R,Chen H,Sippel RS

    更新日期:2009-12-01 00:00:00

  • Perineal gangrene in the patient with granulocytopenia: the importance of early diverting colostomy.

    abstract::Perirectal and perineal infections represent a life-threatening complication of hematologic diseases associated with granulocytopenia. Early and aggressive surgical management is essential. This should include hemodynamic support and monitoring, broad-spectrum antibiotics, wide surgical debridement, and a totally dive...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Hiatt JR,Kuchenbecker SL,Winston DJ

    更新日期:1986-11-01 00:00:00

  • Regression of intimal hyperplasia with restoration of endothelium-dependent relaxing factor-mediated relaxation in experimental vein grafts.

    abstract:BACKGROUND:The reversibility of the morphologic and functional alterations that occur in veins transplanted into the arterial circulation was examined in this study. METHODS:Common carotid vein bypass grafts (VG) were performed in 20 male New Zealand White rabbits. Ten VG and jugular veins (CV) were harvested after 14...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Davies MG,Klyachkin ML,Dalen H,Svendsen E,Hagen PO

    更新日期:1993-08-01 00:00:00

  • Radiographic assessment of splenic injury without contrast: is contrast truly needed?

    abstract:INTRODUCTION:Computed tomography (CT) has become an essential tool in the assessment of the stable trauma patient. Intravenous (i.v.) contrast is commonly relied upon to provide superior image quality, particularly for solid-organ injury. However, a substantial proportion of injured patients have contraindications to i...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2012.07.016

    authors: Murken DR,Weis JJ,Hill GC,Alarcon LH,Rosengart MR,Forsythe RM,Marshall GT,Billiar TR,Peitzman AB,Sperry JL

    更新日期:2012-10-01 00:00:00

  • Neural regulation of heterotopic islets of Langerhans.

    abstract::The possibility of vagal reinnervation to intrasplenic islet grafts was examined by measuring portal insulin response to electric stimulation of the dorsal vagus nerve in autografted dogs. Grafted islets responded appropriately to an exogenous cholinergic agent given intravenously. However, no insulin secretory respon...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Kakizaki K,Basadonna G,Merrell RC

    更新日期:1986-12-01 00:00:00

  • Head and neck reconstruction following resection of carcinoma, using microvascular free flaps.

    abstract::Our experience with 15 microvascular free-flap transfers is documented and discussed. We feel that the procedure is an effective means of reconstruction for complex and extensive defects. Rapid advances have been made in all areas of cancer surgery. It is important that these patients be afforded a speedy and, prefera...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Zuker RM,Manktelow RT,Palmer JA,Rosen IB

    更新日期:1980-10-01 00:00:00

  • Effects of perfluorocarbon exchange transfusion on reducing myocardial infarct size in a primate model of ischemia-reperfusion injury: a prospective, randomized study.

    abstract:BACKGROUND:This study was undertaken to test the hypothesis that perfluorocarbons were able to reduce myocardial infarct size in a baboon model of ischemia-reperfusion injury. Exchange transfusion of perfluorocarbons has been shown to reduce myocardial infarct size in the dog, who, unlike the baboon, has an extensive c...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(95)80011-5

    authors: Premaratne S,Harada RN,Chun P,Suehiro A,McNamara JJ

    更新日期:1995-06-01 00:00:00