The incidence of shunt occlusion following portosystemic decompression

D. G. Mehigan, G. D. Zuidema, J. 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 - Jan 1 1980

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

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