[Hemobilia: treatment by embolization of the hepatic artery].
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Biomedical subjects
Publications and source records attributed to S Raia.
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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.
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The availability of donor organs is a critical factor that limits the use of orthotopic liver transplantation. Split-liver technique means by cutting the liver into two hemilivers one could implant the new reduced-livers in two recipients. The authors have extensively reviewed the literature and concluded that in spite of both greatest postoperative complications and mortality, this technique could be useful in both chronically waiting list patients and those with acute hepatic failure whom desperately need a new organ.
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