The interposition mesocaval shunt.
The interposition mesocaval C-shunt is an excellent alternative for the management of bleeding esophageal varices. The comparable operative mortality, long-term survival, and minimal operative time and blood loss make it the emergency shunt of choice. The C-shunt modification has improved long-term patency and ease of operation. The interposition mesocaval shunt also is increasing in importance as the best portosystemic shunt in those patients who may eventually require liver transplantation.
Lillemoe
K D
KD
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Cameron
J L
JL
D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006501:Hepatic Encephalopathy / Q000209:etiology; D006801:Humans; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects / Q000379:methods