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
Y1 - 1984
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 -