Abstract
Hepatic failure and upper gastrointestinal bleeding following a distal splenorenal shunt is distinctly unusual. Should either or both of these complications develop in the immediate or early postoperative period, adequate angiographic studies should be done without delay so as to identify accurately the status of the portal and splenic venous systems. If an unligated coronary vein is apparent, transhepatic clotting should be accomplished. The presence of other major colateral vessels between the portal and splenic circulations may require surgical ligation. The presence of thrombosis of the portal vein represents a more serious problem, with thrombectomy and arterialization of the portal vein offering the best chance for survival in a patient with a deteriorating condition.
| Original language | English |
|---|---|
| Pages (from-to) | 46-48 |
| Number of pages | 3 |
| Journal | Surgery Gynecology and Obstetrics |
| Volume | 155 |
| Issue number | 1 |
| State | Published - Jan 1 1982 |
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ASJC Scopus subject areas
- Obstetrics and Gynecology
- Surgery
Cite this
Early hepatic failure or upper gastrointestinal bleeding following a distal splenorenal shunt. / Hutson, Duane; Livingstone, Alan; Levi, Joe; Zeppa, R.
In: Surgery Gynecology and Obstetrics, Vol. 155, No. 1, 01.01.1982, p. 46-48.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Early hepatic failure or upper gastrointestinal bleeding following a distal splenorenal shunt
AU - Hutson, Duane
AU - Livingstone, Alan
AU - Levi, Joe
AU - Zeppa, R.
PY - 1982/1/1
Y1 - 1982/1/1
N2 - Hepatic failure and upper gastrointestinal bleeding following a distal splenorenal shunt is distinctly unusual. Should either or both of these complications develop in the immediate or early postoperative period, adequate angiographic studies should be done without delay so as to identify accurately the status of the portal and splenic venous systems. If an unligated coronary vein is apparent, transhepatic clotting should be accomplished. The presence of other major colateral vessels between the portal and splenic circulations may require surgical ligation. The presence of thrombosis of the portal vein represents a more serious problem, with thrombectomy and arterialization of the portal vein offering the best chance for survival in a patient with a deteriorating condition.
AB - Hepatic failure and upper gastrointestinal bleeding following a distal splenorenal shunt is distinctly unusual. Should either or both of these complications develop in the immediate or early postoperative period, adequate angiographic studies should be done without delay so as to identify accurately the status of the portal and splenic venous systems. If an unligated coronary vein is apparent, transhepatic clotting should be accomplished. The presence of other major colateral vessels between the portal and splenic circulations may require surgical ligation. The presence of thrombosis of the portal vein represents a more serious problem, with thrombectomy and arterialization of the portal vein offering the best chance for survival in a patient with a deteriorating condition.
UR - http://www.scopus.com/inward/record.url?scp=0019944150&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0019944150&partnerID=8YFLogxK
M3 - Article
C2 - 6979808
AN - SCOPUS:0019944150
VL - 155
SP - 46
EP - 48
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
SN - 1072-7515
IS - 1
ER -