The incidence of shunt occlusion following portosystemic decompression

D. G. Mehigan, G. D. Zuidema, John L Cameron

Research output: Contribution to journalArticle

Abstract

The English literature on portosystemic decompression procedures was reviewed for an 11 year period and is available upon request to the authors. Information on 1,586 end-to-side portacaval shunts, 308 side-to-side portacaval shunts, 550 standard splenorenal shunts, 436 interposition shunts, 319 distal splenorenal shunts and 136 direct mesocaval shunts was obtained. Operative mortality ranged from a low of 6% in patients undergoing a direct mesocaval shunt to a high of 29% among patients undergoing a side-to-side portacaval shunt. The incidence of portosystemic encephalopathy ranged from a low of 2% for direct mesocaval shunts to a high of 36% for side-to-side portacaval shunts. The occlusion rate was 18% for the standard splenorenal shunt, 10% for the distal splenorenal and interposition shunts, 7% for the direct mesocaval and the end-to-side portocaval shunts and 2% for the side-to-side portacaval shunt.

Original languageEnglish (US)
Pages (from-to)661-663
Number of pages3
JournalSurgery Gynecology and Obstetrics
Volume150
Issue number5
StatePublished - 1980

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Surgical Portacaval Shunt
Surgical Splenorenal Shunt
Decompression
Incidence
Literature
Hepatic Encephalopathy
Mortality

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery

Cite this

The incidence of shunt occlusion following portosystemic decompression. / Mehigan, D. G.; Zuidema, G. D.; Cameron, John L.

In: Surgery Gynecology and Obstetrics, Vol. 150, No. 5, 1980, p. 661-663.

Research output: Contribution to journalArticle

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