title: [Selective distal splenorenal shunt, surgery for portal hypertension. Experience of a general hospital].
abstract: From 1982 to 1987, twenty patients underwent Distal Splenorenal Shunt. The surgical indication was hemorrhagic portal hypertension: two cases were done on an emergency basis and eighteen electively. In all patients endoscopy was performed, and the bleeding site was documented; splenoportography was done to 70% and the remaining had selective arteriography with venous phase. Portal pressure was measured during splenoportography or during the operation with catheterization of the right gastroepiploic vein. We had a preoperative histopathologic diagnosis in 60% of the cases. The overall preoperative mortality was 10%, with ascites in seven patients, pancreatic pseudocyst in one, chylous retrogastric collection in one and, encephalopathy in one case. The predicted overall survival for a 5-year period is 77%. We think this surgery can be done in the general hospitals of small cities.
authors.forename: R
authors.initials: R
authors.lastname: Bernal Gómez
authors.forename: O
authors.initials: O
authors.lastname: Olivares Ontíveros
authors.forename: V A
authors.initials: VA
authors.lastname: Silva Sánchez Alvarez
authors.forename: N
authors.initials: N
authors.lastname: Granados Fraire
authors.forename: J E
authors.initials: JE
authors.lastname: Quezada Salcedo
authors.forename: J
authors.initials: J
authors.lastname: Palacios Saucedo
authors.forename: V
authors.initials: V
authors.lastname: Solórzano Robles
mesh_terms: D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013164:Splenorenal Shunt, Surgical
vernacular_title: Derivación esplenorenal distal selectiva, cirugía de la hipertensión portal. Experiencia de un hospital general.