Early hepatic failure or upper gastrointestinal bleeding following a distal splenorenal shunt

Duane Hutson, Alan Livingstone, Joe Levi, R. Zeppa

Research output: Contribution to journalArticle

10 Citations (Scopus)

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 languageEnglish
Pages (from-to)46-48
Number of pages3
JournalSurgery Gynecology and Obstetrics
Volume155
Issue number1
StatePublished - Jan 1 1982

Fingerprint

Surgical Splenorenal Shunt
Liver Failure
Portal Vein
Hemorrhage
Thrombectomy
Postoperative Period
Ligation
Coronary Vessels
Thrombosis
Survival

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 journalArticle

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