Emergency portasystemic shunt for bleeding varices

Author:

Balasegaram M1

Affiliation:

1. Second Surgical Division, Department of Surgery, General Hospital, Kuala Lumpur, Malaysia

Abstract

Abstract Sixty-eight patients with bleeding oesophageal varices due to cirrhosis of the liver who have had an emergency portasystemic shunt are reviewed. The reasons for the emergency shunt surgery and the results are described and discussed. The low postoperative mortality is attributed to careful case selection. Apart from clinical and serological factors, the importance of the bromsulphthalein excretion test is stressed. Emergency shunts are now undertaken by the author in patients whose serum bilirubin is less than 2.5/100 ml and bromsulphthalein retention less than 10 per cent in 30 minutes. This is in marked contrast to the author's previous series in which there was a 30 per cent mortality. The poor results in patients treated conservatively and the disparity between the author's results and those of other reported series are reviewed and discussed.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference22 articles.

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Der komplette portosystemische Shunt — Indikation, Nachsorge und Ergebnisse —;Der chronisch Kranke in der Gastroenterologie;1984

2. Notshuntoperationen;Notfalltherapie;1982

3. Notfalltherapie gastrointestinaler Blutungen bei portaler Hypertension;Chirurgische Gastroenterologie;1981

4. Portasystemic Venous Shunts;New England Journal of Medicine;1976-07-08

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