Elective splenorenal anastomosis.
Thirty-six patients underwent splenorenal anastomosis for haemorrhage from oesophageal varices. Twenty-nine patients were cirrhotics and seven had extrahepatic blocks or congenital hepatic fibrosis. The patients have been followed from 16 years to 6 months. The operative mortality was 11%. Recurrent haemorrhage occurred in two patients (6%) and neurological manifestations in 38% of the patients at risk. It is concluded that splenorenal anastomosis is associated with a high degree of shunt patency.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000469:Alkaline Phosphatase / Q000097:blood; D001663:Bilirubin / Q000097:blood; D002648:Child; D002675:Child, Preschool; D004932:Esophageal and Gastric Varices / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D007223:Infant; D008103:Liver Cirrhosis; D008107:Liver Diseases / Q000151:congenital; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D009026:Mortality; D009461:Neurologic Manifestations; D012082:Renal Veins / Q000601:surgery*; D012709:Serum Albumin / Q000032:analysis; D012712:Serum Globulins / Q000032:analysis; D013162:Splenic Vein / Q000601:surgery*
D012709:Serum Albumin; D012712:Serum Globulins; D000469:Alkaline Phosphatase; D001663:Bilirubin