[Distal splenorenal shunt (Warren's operation) in the treatment of portal hypertension. Apropos 3 cases].
Three cases of distal spleno-renal shunt (Warren operation) are reported. These are the first in the romanian medical literature. The cause of the portal hypertension was a Child A liver cirrhosis in all three cases. All patients survived. Two early postoperative complications were noticed: transient ascites and pancreatic pseudocyst and a late development of a hepatic nodule (probably hepatoma). There was no encephalopathy and no liver failure in the two cases that could be followed (for 1 year and, respectively, 6 months). Although small, these experience confirms what other studies show, that Warren shunt seems to be the operation of choice for portal hypertension.
Popescu
I
I
Clinica Chirurgicală Fundeni, Bucureşti, România.
Ionescu
M
M
Tomulescu
V
V
D000328:Adult; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013164:Splenorenal Shunt, Surgical / Q000379:methods*