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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 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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