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Interposition teflon mesenteric caval shunt for bleeding oesophageal varices

✍ Scribed by G. R. Giles; T. G. Brennan; M. S. Losowsky


Publisher
John Wiley and Sons
Year
1973
Tongue
English
Weight
483 KB
Volume
60
Category
Article
ISSN
0007-1323

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✦ Synopsis


Abstract

A modified mesenteric caval shunt using a Teflon ‘H’ prosthesis has been performed in 4 poor-risk patients with cirrhosis and exsanguinating haemorrhage from oesophageal varices and a fifth patient with portal vein thrombosis. Although 2 patients ultimately died, the procedure was effective in arresting the haemorrhage and is technically simple to perform.


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Late results of mesocaval interposition
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Abstract Survival, encephalopathy and shunt patency were studied in 64 consecutive patients who underwent mesocaval shunting with a wide-calibre Dacron® prosthesis. Half of the patients were operated as emergency cases. Operative blood loss in patients who had emergency procedures was significantly