Portosystemic shunt in treatment of esophageal varices bleeding

  • Miljenko Uravic Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Arsen Depolo Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Nenad Petrosic Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Duje Vukas Department of Vascular Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Velimir Rahelic Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Marko Zelic Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Giordano Bacic Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Miodrag Gudelj Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Franko Milotic Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
  • Harry Grbas Department of Abdominal Surgery, Clinical Hospital Center Rijeka, Rijeka, Croatia
Keywords: portosystemic shunt, variceal bleeding

Abstract

Different surgical procedures are described in treatment of portal hypertension and its complications. In this paper we describe our experience in treatment of variceal bleeding. During 23 year period 92 portasystemic shunt operations have been performed in our institution. From our experience, we conclude that surgical shunts remain important mode of treatment of recurrent variceal bleeding in patients with good liver function and portal hypertension.

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References

Becker YT, Reed G, Lind CD, Richards WO. The role of elective operation in the treatment of portal hypertension. Am Surg. 1996 Mar;62(3):171-7.

Clark AW, McDougall BR, Westaby D, Williams R. Propectice controlled trial of injection sclerotherapy in patients with cirrhosis and recent variceal hemorrhage. Lancet 1980; 2:552-4

Gusberg JR. Selective shunts in selected older cirrhotic patients with variceal haemorrhage. Am J Surg 1993; 166(3):274-8

Gutgemann AH, Schreiher W, Eber G. Seltenere portocavale Anastomosen. Die coronariocavale Anastomose. Dtsch Med Wschr 1963; 88:1082-5

Henderson JM, Millikan WJ, Wright-Bacon L et al. Hemodynamic differences between alcoholic and nonalcoholic cirrhotics following distal splenorenal shunt: Effect on survival? Ann Surg 1983; 198:325-34

Inokuchi K, Kobayashi M, Ogawa Y, Saku M, Nagasue N. Results of left gastric vena caval shunt for esophageal varices: Analysis of one hundred clinical cases. Surgery. 1975 Nov;78(5):628-36.

Jacobs DL, Rikkers LF. Indications and results of shunt operations in the treatment of patients with recurrent variceal hemorrhage. Hepatogastroenterology. 1990 Dec;37(6):571-4.

Johansen K. Prospective Comparison of Partial versus Total Portal Decompression for Bleeding Esophageal Varices. Surgery 1992; 175:528-33

Kahn D, Jones B, Bornmqan PC et al. Incidence and management of complications after injection sclerotherapy: a 10 year prospective eveaIuation. Surgery 1989; 105: 160-5

Larson AW, Cohen H, Zweiban B et al. Acute esophageal variceal scleroptherapy: results of a prospective randomised controlled trial. JAMA 1986; 255:497-500

Millican WJ, Warren WO, Henderson Jm et al. The Emory prospective randomised trial: selective versus non-selective shunt to control variceal bleeding. Ann Surg 1985; 201:712-2

Rickers LF, Jin G. Surgical management of acute variceal hemorrhage. World J Surg 1994; 18:193

Rikkers LF. Portal hemodynamics, intestinal absorption, and postshunt encephalopathy. Surgery. 1983 Aug;94(2):126-33.

Rueff B, Prandi D, Degos F et al. A controlled study of therapeutic portacaval shunt in alcoholic cirrhosis. Lancet 1976; 1 :655-7

Sarfeh IJ, Rypins EB, Mason GR. A systematic appraisal of portacaval H-graft diameters. Clinical and hemodynamic perspectives. Ann Surg. 1986 Oct;204(4):356-63.

Terblanche J, Northover JMA, Bornman P et al. A prospective evaluation of injection scIerotherapy in the treatment of acute bleeding from oesophageal varices. Surgery 1979; 85:239-45

Warren WD, Zeppa R, Fomon JJ. Selective trans-splenic decompression of gastroesophageal varices by distal splenorenal shunt. Ann Surg. 1967 Sep;166(3):437-55.

Published
2004-12-01
How to Cite
1.
Uravic M, Depolo A, Petrosic N, Vukas D, Rahelic V, Zelic M, Bacic G, Gudelj M, Milotic F, Grbas H. Portosystemic shunt in treatment of esophageal varices bleeding. Acta Chir. Croat. [Internet]. 2004Dec.1 [cited 2025Jan.21];1(1):14-8. Available from: https://acc.hkd.com.hr/index.php/ACC/article/view/46
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