[Splenic repercussions after Warren's distal spleno -renal shunt].
Volume and function of the spleen were checked in 14 patients 6 months to 7.5 years (average: 2.5 years) after Warren distal spleno-renal shunt. In addition to the shunt, the splenic artery was ligated proximally in 5 cases. Splenomegaly decreased in half of the patients. In 8 out of the 13 patients with preoperative hypersplenism, the latter improved or disappeared after operation. Increased splenomegaly or hypersplenism was never found postoperatively. Splenic effects of the distal spleno-renal shunt are related to the improvement of the venous stasis. Efficiency of the splenic artery ligation is so doubtful that we do not recommend such a procedure.
D000328:Adult; D000368:Aged; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006971:Hypersplenism; D008026:Ligation; D008297:Male; D008875:Middle Aged; D012082:Renal Veins / Q000601:surgery*; D013154:Spleen / Q000502:physiology*; D013157:Splenic Artery / Q000601:surgery; D013162:Splenic Vein / Q000601:surgery*; D013163:Splenomegaly
Répercussions spléniques du shunt spléno-rénal distal selon Warren.