Prospective study of 206 patients treated by distal splenorenal shunts for esophagogastric hemorrhage due to portal hypertension reveals a probability of survival at 6 years of 0.53. The actuarial analyses show a marked difference in survival between alcoholic patients (0.39) and non-alcoholics (0.68) during the same interval. In the latter group, those patients with stable liver disease had a probability of survival of 0.78. The leading causes of death for alcoholic patients were liver failure, liver cancer, and trauma. In the nonalcoholic group, there were two leading causes: liver failure and complications of arteriosclerosis.
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