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Biomedical subjects

U Matzander

Publications and source records attributed to U Matzander.

17 recordsLinked to original sources
PubMed1976

[Results of veno-venous shunt with arterialization of the liver (author's transl)].

Since 1968, arterialization of the liver with a portacaval shunt has been carried out in 82 patients for the treatment of portal hypertension caused by cirrhosis. Lethality in the first 4 weeks after operation was 19%. In 35 patients it is now over 5 years since the operation, 5 years survival being 46%. The general condition of these patients is remarkably good. The liver's detoxifying function has been preserved. Encephalopathy is rare. In cases of existing portacaval shunt arterialization can still be performed by way of the V. umbilicalis. The detoxifying function will improve after this.

Adolescent↗
PubMed1975

[The present status of portal vein surgery in liver cirrhosis (author's transl)].

Surgical procedures concerning the portal vein in liver cirrhosis must be carefully planned preoperatively. If there is still a residual blood supply of the liver through the portal vein it should be preserved. This can be done best by establishing a pressure-adapted arterialisation of the liver plus portacaval end-to-side anastomosis. The portacaval shunt is the method of choice if there is no residual blood flow through the portal vein. A spleno-renal venous anastomosis is to be performed, if there is a total or partial thrombosis of the stem of the portal vein. Treatment of acute bleeding from esophageal varices is still a problem unresolved. The pathophysiology of this situation is considered; a method is proposed which combines a quick stop of bleeding and relief of the detoxfying function of the liver.

Esophageal and Gastric Varices↗