End renal vein-to-splenic vein shunts for total or selective portal decompression

W. Dean Warren, Atef A. Salam, Anthony Faraldo, Duane Hutson, Robert B. Smith

Research output: Contribution to journalArticle

28 Citations (Scopus)

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 languageEnglish
Pages (from-to)995-1006
Number of pages12
JournalSurgery
Volume72
Issue number6
StatePublished - Jan 1 1972

Fingerprint

Surgical Splenorenal Shunt
Splenic Vein
Renal Veins
Decompression
Kidney
Mesenteric Veins
Esophageal and Gastric Varices
Liver
Veins
Perfusion

ASJC Scopus subject areas

  • Surgery

Cite this

Warren, W. D., Salam, A. A., Faraldo, A., Hutson, D., & Smith, R. B. (1972). End renal vein-to-splenic vein shunts for total or selective portal decompression. Surgery, 72(6), 995-1006.

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 journalArticle

Warren, WD, Salam, AA, Faraldo, A, Hutson, D & Smith, RB 1972, 'End renal vein-to-splenic vein shunts for total or selective portal decompression', Surgery, vol. 72, no. 6, pp. 995-1006.
Warren WD, Salam AA, Faraldo A, Hutson D, Smith RB. End renal vein-to-splenic vein shunts for total or selective portal decompression. Surgery. 1972 Jan 1;72(6):995-1006.
Warren, W. Dean ; Salam, Atef A. ; Faraldo, Anthony ; Hutson, Duane ; Smith, Robert B. / End renal vein-to-splenic vein shunts for total or selective portal decompression. In: Surgery. 1972 ; Vol. 72, No. 6. pp. 995-1006.
@article{e03dc2db4e614e24bbbb1d461e20cd75,
title = "End renal vein-to-splenic vein shunts for total or selective portal decompression",
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.",
author = "Warren, {W. Dean} and Salam, {Atef A.} and Anthony Faraldo and Duane Hutson and Smith, {Robert B.}",
year = "1972",
month = "1",
day = "1",
language = "English",
volume = "72",
pages = "995--1006",
journal = "Surgery (United States)",
issn = "0039-6060",
publisher = "Mosby Inc.",
number = "6",

}

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 -