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PubMed · 2368879

Selective or total shunts for variceal bleeding.

B Langer·B R Taylor·P D Greig
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Abstract

Shunt surgery remains an important therapeutic option in the management of variceal bleeding, and both total and selective shunts have a role to play. The distal shunt is associated with a lower long-term encephalopathy rate and may yield better survival in the nonalcoholic patient; it is, therefore, the preferred shunt in the elective situation. The total shunt is technically easier to perform and more widely available; it is, therefore, preferred in the emergency situation. Ordinarily, the side-to-side and end-to-side shunts have similar outcomes; however, in patients with hepatic venous outflow obstruction and patients with intractable ascites, the side-to-side shunt should be used.

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Esophageal and Gastric VaricesGastrointestinal HemorrhageHemodynamicsHepatic EncephalopathyHumansPortal SystemPortasystemic Shunt, SurgicalRecurrenceSplenorenal Shunt, SurgicalComparative StudyJournal Article

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BibTeXRIS

B Langer, B R Taylor, P D Greig. 1990. Selective or total shunts for variceal bleeding.. https://doi.org/10.1016/s0002-9610(05)80872-4

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