World Journal of Surgery

, Volume 4, Issue 5, pp 635–637 | Cite as

Mesocaval interposition shunt for portal hypertension: Results in 31 patients

  • Gilles Fourtanier
  • André Lacroix
  • Christian Martinel
  • Jean Escat
Article

Abstract

Mesocaval interposition shunt (MCS) with a dacron graft was performed for bleeding esophageal varices in 31 cirrhotic patients. Operative mortality rate was 29% overall, 40% for emergency MCS performed in 20 patients, and 9% for elective MCS performed in 11 patients. Bleeding was controlled in 75% of patients who underwent emergency MCS. Shunt patency rate was 90%. Long-term follow-up for an average of 26±13 months was possible in 21 patients. None of the survivors developed recurrent bleeding. Encephalopathy requiring hospitalization occurred in 28.5% of survivors.

Keywords

Hypertension Mortality Rate Portal Hypertension Cirrhotic Patient Operative Mortality 

Résumé

Un shunt mésentérico-cave par greffe en dacron a été réalisé chez 31 cirrhotiques avec hémorragie par varices oesophagiennes. La mortalité globale a été de 29%: 40% pour 20 urgences, 9% pour 11 opérations non urgentes. L'hémorragie a été contrôlée dans 75% des cas opérés en urgence; 90% des shunts sont perméables. Vingt et un malades ont pu être suivis pendant 26±13 mois. Aucune récidive d'hémorragie n'a été observée. Une encéphalopathie nécessitant une hospitalisation a été observée chez 28.5% des survivants.

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Copyright information

© Société Internationale de Chirurgie 1980

Authors and Affiliations

  • Gilles Fourtanier
    • 1
  • André Lacroix
    • 1
  • Christian Martinel
    • 1
  • Jean Escat
    • 1
  1. 1.Service de Chirurgie GénéraleC.H.U. de Rangueil, Chemin du VallonToulouse CedexFrance

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