Document Detail


Encephalopathy caused by a splenorenal shunt can be reversed by performing a mesenteric-to-left portal vein bypass.
MedLine Citation:
PMID:  16769357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgically created portosystemic shunts can alleviate the symptoms of bleeding from gastric and esophageal varices and improve the hematologic consequences of hypersplenism in patients with portal hypertension. However, the diversion of mesenteric venous blood away from the liver can result in encephalopathy. In this report, we describe a case in which encephalopathy caused by a proximal splenorenal shunt was reversed by the restoration of portal flow to the liver by a mesenteric-to-left portal vein bypass operation.
Authors:
Bill Chiu; Riccardo A Superina
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  41     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-13     Completed Date:  2006-10-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1177-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Children's Memorial Hospital, Chicago, IL 60614, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Brain Diseases / etiology*,  physiopathology,  surgery*
Female
Humans
Liver Circulation*
Magnetic Resonance Imaging
Mesenteric Veins / pathology,  surgery*
Portal Vein / physiopathology,  surgery*
Reoperation
Splenorenal Shunt, Surgical / adverse effects*
Treatment Outcome
Vascular Surgical Procedures*
Venous Thrombosis / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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