[Results of Mesoenterico-caval Anastomosis for Portal Hypertension (author's transl)].
16 cases of mesenteric caval anastomosis in children with recurrent bleeding from oesophageal varices are presented. Advantages of this technique include the quick normalisation of portal pressure and the low incidence of thrombosis or recurrent bleeding. This complication arises in 10% of patients treated with a central mesenteric caval shunt. The disadvantage of the technique presented is the reduction of perfusion of the liver and the necessity of ligating the iliac veins. An alternative procedure is spleno-renal shunt but this also leads to a reduction of liver perfusion. An alternative procedure is spleno-renal shunt but this also leads to a reduction of liver perfusion. The incidence of thrombosis and recurrent bleeding is higher using this method and on the whole the choice of technique is determined by the age of the patient.
D002648:Child; D002675:Child, Preschool; D004932:Esophageal and Gastric Varices / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery*; D008638:Mesenteric Arteries / Q000601:surgery*; D008722:Methods; D014683:Vena Cava, Superior / Q000601:surgery
Ergebnisse der mesenteriko-kavalen Anastomose bei portaler Hypertension.