Abstract
An end of renal vein-to-side (or end) of splenic vein shunt has been accomplished in ten patients with satisfying clinical and physiologic results. The total (or functional side-to-side) shunt appears to be easier to perform than a side-to-side splenorenal shunt in many instances. The total renosplenic shunt does not preserve superior mesenteric and portal venous flow to the liver. It has the great advantage, however, of being easily converted to a selective shunt if this should later become desirable. The selective renosplenic shunt (or functional selective distal splenorenal shunt) can be achieved with a renosplenic anastomosis by simply ligating the splenic vein between the anastomosis and the superior mesenteric vein. The much desired features of the selective operation, namely, the decompression of esophageal varices through a widely patent splenorenal shunt, with continued perfusion of the liver by superior mesenteric and portal venous blood, have been documented. Function of the left kidney is altered remarkably little with division of the left renal vein central to the gonadal tributary. Even with sacrifice of the gonadal vein and division of the left renal vein at or near its bifurcation, the depression of renal function was mild to moderate, as judged by the techniques utilized in this study.
| Original language | English |
|---|---|
| Pages (from-to) | 995-1006 |
| Number of pages | 12 |
| Journal | Surgery |
| Volume | 72 |
| Issue number | 6 |
| State | Published - Jan 1 1972 |
Fingerprint
ASJC Scopus subject areas
- Surgery
Cite this
End renal vein-to-splenic vein shunts for total or selective portal decompression. / Warren, W. Dean; Salam, Atef A.; Faraldo, Anthony; Hutson, Duane; Smith, Robert B.
In: Surgery, Vol. 72, No. 6, 01.01.1972, p. 995-1006.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - End renal vein-to-splenic vein shunts for total or selective portal decompression
AU - Warren, W. Dean
AU - Salam, Atef A.
AU - Faraldo, Anthony
AU - Hutson, Duane
AU - Smith, Robert B.
PY - 1972/1/1
Y1 - 1972/1/1
N2 - An end of renal vein-to-side (or end) of splenic vein shunt has been accomplished in ten patients with satisfying clinical and physiologic results. The total (or functional side-to-side) shunt appears to be easier to perform than a side-to-side splenorenal shunt in many instances. The total renosplenic shunt does not preserve superior mesenteric and portal venous flow to the liver. It has the great advantage, however, of being easily converted to a selective shunt if this should later become desirable. The selective renosplenic shunt (or functional selective distal splenorenal shunt) can be achieved with a renosplenic anastomosis by simply ligating the splenic vein between the anastomosis and the superior mesenteric vein. The much desired features of the selective operation, namely, the decompression of esophageal varices through a widely patent splenorenal shunt, with continued perfusion of the liver by superior mesenteric and portal venous blood, have been documented. Function of the left kidney is altered remarkably little with division of the left renal vein central to the gonadal tributary. Even with sacrifice of the gonadal vein and division of the left renal vein at or near its bifurcation, the depression of renal function was mild to moderate, as judged by the techniques utilized in this study.
AB - An end of renal vein-to-side (or end) of splenic vein shunt has been accomplished in ten patients with satisfying clinical and physiologic results. The total (or functional side-to-side) shunt appears to be easier to perform than a side-to-side splenorenal shunt in many instances. The total renosplenic shunt does not preserve superior mesenteric and portal venous flow to the liver. It has the great advantage, however, of being easily converted to a selective shunt if this should later become desirable. The selective renosplenic shunt (or functional selective distal splenorenal shunt) can be achieved with a renosplenic anastomosis by simply ligating the splenic vein between the anastomosis and the superior mesenteric vein. The much desired features of the selective operation, namely, the decompression of esophageal varices through a widely patent splenorenal shunt, with continued perfusion of the liver by superior mesenteric and portal venous blood, have been documented. Function of the left kidney is altered remarkably little with division of the left renal vein central to the gonadal tributary. Even with sacrifice of the gonadal vein and division of the left renal vein at or near its bifurcation, the depression of renal function was mild to moderate, as judged by the techniques utilized in this study.
UR - http://www.scopus.com/inward/record.url?scp=0015444946&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0015444946&partnerID=8YFLogxK
M3 - Article
C2 - 4673684
AN - SCOPUS:0015444946
VL - 72
SP - 995
EP - 1006
JO - Surgery (United States)
JF - Surgery (United States)
SN - 0039-6060
IS - 6
ER -