Interposition left gastric–caval shunt using internal jugular vein autograft in the treatment of portal hypertension
✍ Scribed by E. Moreno Gonzalez; J. Hebrero San Martin; P. Carda Abella; J. L. Rodriguez Aguyo; Dusko Jelavik
- Publisher
- John Wiley and Sons
- Year
- 1978
- Tongue
- English
- Weight
- 313 KB
- Volume
- 65
- Category
- Article
- ISSN
- 0007-1323
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✦ Synopsis
Abstract
The selective left gastric-caval shunt is, in theory, one of the better procedures in the surgical treatment of portal hypertension. We have performed a modification of the previously described technique utilizing an internal jugular vein autograft in 4 patients who had had more than one major haemorrhage from oesophageal varices 3–12 months before operation. There were no postoperative deaths. All 4 patients are still alive 3 months to 4 years after shunting, with no episodes of bleeding. On radiological and endoscopic follow-up, the oesophagogastric varices were noted to be markedly smaller in size than before shunting.