| A quarter of a century of portasystemic shunting for oesophageal varices. | |
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MedLine Citation:
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PMID: 2709357 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Seventy-three patients who had received portasystemic shunts were reviewed to assess the current role of this procedure in the treatment of portal hypertension. Survival at 1, 5 and 10 years was 85%, 68% and 45% respectively. Survival was significantly greater (P less than 0.001) in Child's grade A patients compared with Child's grade B patients and in non-alcoholics compared with alcoholics. Previously absent encephalopathy developed in 43% of those with non-selective shunts compared with 21% of those with selective shunts. Six of the 12 patients who experienced recurrent variceal haemorrhage had associated shunt thrombosis: five of these required further shunts or oesophageal transection to control their bleeding and the other patient died before further surgery could be instituted. Shunt surgery still has a role in the treatment of a small number of carefully selected patients with portal hypertension. |
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Authors:
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G T Deans; R A Spence; G W Johnston |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the Royal College of Surgeons of Edinburgh Volume: 34 ISSN: 0035-8835 ISO Abbreviation: J R Coll Surg Edinb Publication Date: 1989 Feb |
Date Detail:
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Created Date: 1989-06-02 Completed Date: 1989-06-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7503110 Medline TA: J R Coll Surg Edinb Country: SCOTLAND |
Other Details:
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Languages: eng Pagination: 37-9 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Esophageal and Gastric Varices / surgery* Female Follow-Up Studies Humans Hypertension, Portal / surgery Male Middle Aged Portasystemic Shunt, Surgical* / adverse effects Postoperative Complications Prognosis Retrospective Studies |
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