[Results of spleno-renal anastomosis in the treatment of portal hypertension due to mansoni schistosomiasis. Apropos of a review of the literature].
1001 cases of spleno-renal shunts taken from 26 publications were selected after a literature review. The great majority of these were retrospective and had a very poor follow-up. The operative mortality levels were acceptable (4,5%) and the portal pressure decreased considerably. Nevertheless it has been shown that in 30,3% of the cases, thrombosis of the anastomosis developed. Recurrence of bleeding occurred in 16% of a population in which permeability of the anastomosis had not been controlled and it could be estimated that it goes up to 52% for the group with thrombosis of their anastomosis. Portal systemic encephalopathy varies with age, being 17% for people below 38,5% above 44 years of age.
D001794:Blood Pressure; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects*; D012550:Schistosoma mansoni; D012552:Schistosomiasis / Q000150:complications*
Résultats de l'anastomose spléno-rénale dans le traitement de l'hypertension portale chez la schistosomiase mansoni. Propos d'une revision de la littérature.