Abstract
In a randomized study, the rate of postshunt encephalopathy was significantly lower after distal splenorenal shunting than after mesocaval shunting. Either shunt can be performed electively with a low operative mortality. If initial hemorrhage cannot be controlled, mortality may be minimized by mesocaval shunting. Advanced cirrhosis is not a contraindication to elective or emergency portasystemic shunting.
Publication types
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Clinical Trial
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Randomized Controlled Trial
MeSH terms
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Blood Vessel Prosthesis / adverse effects
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Blood Vessel Prosthesis / mortality
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Esophageal and Gastric Varices / mortality
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Esophageal and Gastric Varices / surgery*
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Follow-Up Studies
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Gastrointestinal Hemorrhage / mortality
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Gastrointestinal Hemorrhage / surgery
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Hepatic Encephalopathy / etiology
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Hepatic Encephalopathy / prevention & control
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Hepatitis, Alcoholic / mortality
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Humans
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Mesenteric Veins / surgery*
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Postoperative Complications / mortality
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Renal Veins / surgery*
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Splenic Vein / surgery*
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Vena Cava, Inferior / surgery*