[A rare complication in the suppression of a porto-systemic shunt in disabling encephalopathy].
The authors describe an uncommon complication in a case of side-to-side portacaval shunt which was suppressed due to disabling portal-systemic encephalopathy; the patient was treated by esophageal transection with esophagogastric devascularization and nonoperative secondary occlusion of the shunt by external elastic traction on a Silastic catheter surrounding the anastomosis: a stenosis of the caval vein under traction required another operation in order to close the shunt.
Fronda
G R
GR
Università degli Studi di Torino, Istituto di Clinica Chirurgica Generale e Terapia Chirurgica.
Toppino
M
M
Capozzi
M P
MP
Morino
M
M
Scollo
M A
MA
Recchia
S
S
D001927:Brain Diseases / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects*; D011859:Radiography; D012086:Reoperation; D014652:Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D014682:Vena Cava, Inferior
Considerazioni su una rara complicanza nella soppressione di shunt porto-sistemico per encefalopatia invalidante.