Clinical experiences with left gastric vena caval shunt in patients with esophageal varices
- 33 Downloads
Left gastric vena caval shunt (Inokuchi) was performed in four patients with liver cirrhosis; electively in two and prophylactically in two cases. The overall results have been satisfactory in terms of the effect on esophageal varices and postoperative complications. This procedure appeared to be superior to distal splenorenal shunt or other direct surgical procedures in several aspects. Since left gastric vena caval shunt does not require particularly elaborate surgical techniques and can be performed safely even in patients with considerably impaired hepatic function, it can be recommended as an ideal surgical procedure to be performed in elective and prophylactic surgical candidates.
Key Wordsselective shunt portal hypertension esophageal varices
Unable to display preview. Download preview PDF.
- 4.Inokuchi, K., Kobayashi, M., Saku, M. et al.: Characteristics of splanchnic portal circulation in portal hypertension as analysed by pressure study in clinical cases. Acta Hepatol. Jap., 18: 891–898, 1977. (English Abst.)Google Scholar
- 5.Inokuchi, K., Kobayashi, M., Hamatake, Y. et al.: Evaluation of hepatic circulation in the selection of surgical patients with portal hypertension. Acta Hepatol. Jap., 9: 249–259, 1968. (English Abst.)Google Scholar
- 6.Kobayashi, M., Inokuchi, K., Saku, M. et al.: Left gastric vena caval shunt- Its rational and clinical results of 150 cases. Jap. J. Surg. Soc., 79: 719–723, 1978. (English Abst.)Google Scholar
- 7.Kobayashi, M., Inokuchi, K. and Nagasue, N.: Left gastric vena caval shunt. Shokaki Geka (Gastroenterol. Surg.), 2: 549–557, 1979 (in Japanese).Google Scholar