Exclusion of nonisolated splenic vein in distal splenorenal shunt for prevention of portal malcirculation

K. Inokuchi, K. Beppu, N. Koyanagi, K. Nagamine, M. Hashizume, K. Sugimachi

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

In an attempt to prevent portoprival malcirculation after distal splenorenal shunt (DSRS), a splenic hilar renal shunt (JRS) with proximal flush ligation of splenic vein was designed. To accomplish this procedure, two methods were compared: HRS alone (Group A) and HRS plus proximal flush ligation of the splenic vein (Group B). In Group A, which included 20 cirrhotic patients with esophageal varices, angiographic as well as pulsed Doppler flowmetric follow-up study revealed a portal thrombosis in two patients and severe narrowing of a portal vein in another two. Considerable stealing flow was observed in these four patients. In the Group B series, which included 33 cirrhotic patients, there were no gross changes in the portal hemodynamics. Normal prograde portal flow was confirmed by Doppler flowmeter in this series included 14 patients of more than 8 months after surgery. When the amount of nonisolated splenic vein embedded in the pancreas is minimized, portal malcirculation after distal splenorenal shunt can, to a great extent, be prevented.

Original languageEnglish
Pages (from-to)711-717
Number of pages7
JournalAnnals of surgery
Volume200
Issue number6
DOIs
Publication statusPublished - Jan 1 1984

Fingerprint

Surgical Splenorenal Shunt
Splenic Vein
Ligation
Theft
Flowmeters
Esophageal and Gastric Varices
Portal Vein
Pancreas
Thrombosis
Hemodynamics
Kidney

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Exclusion of nonisolated splenic vein in distal splenorenal shunt for prevention of portal malcirculation. / Inokuchi, K.; Beppu, K.; Koyanagi, N.; Nagamine, K.; Hashizume, M.; Sugimachi, K.

In: Annals of surgery, Vol. 200, No. 6, 01.01.1984, p. 711-717.

Research output: Contribution to journalArticle

Inokuchi, K, Beppu, K, Koyanagi, N, Nagamine, K, Hashizume, M & Sugimachi, K 1984, 'Exclusion of nonisolated splenic vein in distal splenorenal shunt for prevention of portal malcirculation', Annals of surgery, vol. 200, no. 6, pp. 711-717. https://doi.org/10.1097/00000658-198412000-00007
Inokuchi, K. ; Beppu, K. ; Koyanagi, N. ; Nagamine, K. ; Hashizume, M. ; Sugimachi, K. / Exclusion of nonisolated splenic vein in distal splenorenal shunt for prevention of portal malcirculation. In: Annals of surgery. 1984 ; Vol. 200, No. 6. pp. 711-717.
@article{208b50c8b1034da990b4dd8697ff57fe,
title = "Exclusion of nonisolated splenic vein in distal splenorenal shunt for prevention of portal malcirculation",
abstract = "In an attempt to prevent portoprival malcirculation after distal splenorenal shunt (DSRS), a splenic hilar renal shunt (JRS) with proximal flush ligation of splenic vein was designed. To accomplish this procedure, two methods were compared: HRS alone (Group A) and HRS plus proximal flush ligation of the splenic vein (Group B). In Group A, which included 20 cirrhotic patients with esophageal varices, angiographic as well as pulsed Doppler flowmetric follow-up study revealed a portal thrombosis in two patients and severe narrowing of a portal vein in another two. Considerable stealing flow was observed in these four patients. In the Group B series, which included 33 cirrhotic patients, there were no gross changes in the portal hemodynamics. Normal prograde portal flow was confirmed by Doppler flowmeter in this series included 14 patients of more than 8 months after surgery. When the amount of nonisolated splenic vein embedded in the pancreas is minimized, portal malcirculation after distal splenorenal shunt can, to a great extent, be prevented.",
author = "K. Inokuchi and K. Beppu and N. Koyanagi and K. Nagamine and M. Hashizume and K. Sugimachi",
year = "1984",
month = "1",
day = "1",
doi = "10.1097/00000658-198412000-00007",
language = "English",
volume = "200",
pages = "711--717",
journal = "Annals of Surgery",
issn = "0003-4932",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Exclusion of nonisolated splenic vein in distal splenorenal shunt for prevention of portal malcirculation

AU - Inokuchi, K.

AU - Beppu, K.

AU - Koyanagi, N.

AU - Nagamine, K.

AU - Hashizume, M.

AU - Sugimachi, K.

PY - 1984/1/1

Y1 - 1984/1/1

N2 - In an attempt to prevent portoprival malcirculation after distal splenorenal shunt (DSRS), a splenic hilar renal shunt (JRS) with proximal flush ligation of splenic vein was designed. To accomplish this procedure, two methods were compared: HRS alone (Group A) and HRS plus proximal flush ligation of the splenic vein (Group B). In Group A, which included 20 cirrhotic patients with esophageal varices, angiographic as well as pulsed Doppler flowmetric follow-up study revealed a portal thrombosis in two patients and severe narrowing of a portal vein in another two. Considerable stealing flow was observed in these four patients. In the Group B series, which included 33 cirrhotic patients, there were no gross changes in the portal hemodynamics. Normal prograde portal flow was confirmed by Doppler flowmeter in this series included 14 patients of more than 8 months after surgery. When the amount of nonisolated splenic vein embedded in the pancreas is minimized, portal malcirculation after distal splenorenal shunt can, to a great extent, be prevented.

AB - In an attempt to prevent portoprival malcirculation after distal splenorenal shunt (DSRS), a splenic hilar renal shunt (JRS) with proximal flush ligation of splenic vein was designed. To accomplish this procedure, two methods were compared: HRS alone (Group A) and HRS plus proximal flush ligation of the splenic vein (Group B). In Group A, which included 20 cirrhotic patients with esophageal varices, angiographic as well as pulsed Doppler flowmetric follow-up study revealed a portal thrombosis in two patients and severe narrowing of a portal vein in another two. Considerable stealing flow was observed in these four patients. In the Group B series, which included 33 cirrhotic patients, there were no gross changes in the portal hemodynamics. Normal prograde portal flow was confirmed by Doppler flowmeter in this series included 14 patients of more than 8 months after surgery. When the amount of nonisolated splenic vein embedded in the pancreas is minimized, portal malcirculation after distal splenorenal shunt can, to a great extent, be prevented.

UR - http://www.scopus.com/inward/record.url?scp=0021691209&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021691209&partnerID=8YFLogxK

U2 - 10.1097/00000658-198412000-00007

DO - 10.1097/00000658-198412000-00007

M3 - Article

C2 - 6508400

AN - SCOPUS:0021691209

VL - 200

SP - 711

EP - 717

JO - Annals of Surgery

JF - Annals of Surgery

SN - 0003-4932

IS - 6

ER -