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New Selective Decompression of Esophageal VaricesBy a Left Gastric Venous-Caval Shunt
Kiyoshi Inokuchi, MD, DSc;
Michio Kobayashi, MD;
Akira Kusaba, MD;
Yuichiro Ogawa, MD;
Motonori Saku, MD;
Toshiomi Shiizaki, MD
AMA Arch Surg. 1970;100(2):157-162.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Although there is little disagreement that the portal-systemic shunt is the best treatment of variceal bleeding for patients with portal hypertension, the usual shunting methods have several post-operative problems such as Eck's syndrome or hepatic failure as a result of markedly decreased postoperative hepatic blood flow.
In countries in which the postnecrotic type of cirrhosis is most often seen, the conventional portal-systemic shunt is contraindicated for portal hypertension. Nonshunting surgical procedures have proved superior for hepatic function, but are accompanied by nutritional imbalance as well as recurrent bleeding.
In an attempt to improve these problems, we devised a controlled splenorenal shunt, which regulates the blood flow through the shunt portion. This procedure was performed with satisfactory results upon selected cases of cirrhosis. However, there are still severe types of cirrhosis which cannot benefit from controlled shunting. We have devised a new method for severe types of cirrhosis, a selective shunt.
. . . [Full Text PDF of this Article]
Author Affiliations
Fukuoka, Japan
From the Department of Surgery, School of Medicine, Kyushu University, Fukuoka, Japan.
Footnotes
Submitted for publication Oct 10, 1969.
Reprint requests to Department of Surgery, Kyushu University School of Medicine, Fukuoka, Japan (Dr. Inokuchi).
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