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Splenocaval shunt for selective portal decompression

Abstract

Splenocaval shunt is an option for selective portal decompression in patients who are not good anatomic candidates for distal splenorenal shunts because of massive hepatosplenomegaly and downward displacement of the splenic vein. The proximity of the splenic vein to the inferior vena cava makes the construction of this type of shunt anatomically and hemodynamically advantageous over the standard Warren shunt in these cases.

Résumé

L'anastomose splénocave est une alternative de décompression portale sélective lorsqu'une hépatosplénomégalie ou une situation anatomique basse de la veine splénique rendent l'anastomose splénorénale distale anatomiquement difficile et/ou impossible de par la proximité entre la veine splénique et la veine cave inférieure, ce type d'anastomose présente des avantages anatomiques et hémodynamiques par rapport à l'opération de Warren.

Resumen

El “shunt” o derivación esplenocava representa una opción de descompresión selectiva en pacientes que no son buenos candidatos, desde el punto de vista anatómico, para derivaciones esplenorenales distales debido a hepatoesplenomegalia masiva con desplazamiento inferior de la vena esplénica. La proximidad de la vena esplénica a la vena cava inferior hace anatómica y hemodinámicamente ventajosa la construcción de este tipo de derivación, en vez de la derivación estándar de Warren, en tales casos.

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References

  1. 1.

    Galambos, J.T., Warren, W.D., Rudman, D., Smith, III, R.B., Salam, A.A.: Selective and total shunts in the treatment of bleeding varices. A randomized controlled trial. N. Engl. J. Med.295:1089, 1976

  2. 2.

    Warren, W.D., Salam, A.A., Hutson, D., Zeppa, R.: Selective distal splenorenal shunt. Technique and results of operation. Arch. Surg.108:306, 1974

  3. 3.

    Raju, S.: A modification of the Warren shunt. World J. Surg.6:450, 1982

  4. 4.

    Nagasue, N., Ogawa, Y., Yukaya, H., Hirose, S.: Modified distal splenorenal shunt with expanded polytetrafluoroethylene interposition. Surgery98:870, 1985

  5. 5.

    Inokuchi, K.: A selective portocaval shunt. Lancet2:51, 1968

  6. 6.

    Guharay, B.N., Sain, P., Sengupta, K.P., Mallick, K.K., Biswas, S., Basu, A.K.: Graft interposition splenocaval shunt for total or selective decompression of portal hypertension. Surgery83:164, 1978

  7. 7.

    Salam, A.A.: Selective Shunts in Vascular Surgery, R.B. Rutherford, editor, Philadelphia, W.B. Saunders Co., 1984, p. 1054

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Author information

Correspondence to John I. Iliopoulos M.D..

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Iliopoulos, J.I., Thomas, J.H., Pierce, G.E. et al. Splenocaval shunt for selective portal decompression. World J. Surg. 12, 852–854 (1988). https://doi.org/10.1007/BF01655496

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Keywords

  • Public Health
  • Inferior Vena
  • Splenic Vein
  • Downward Displacement
  • Splenorenal Shunt