Long-term loss of Warren's shunt selectivity. Angiographic demonstration.
Long-term loss of Warren's shunt selectivity. Angiographic demonstration.
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Warren 分流选择性长期丧失。
DOI：
10.1001/archsurg.1981.01380210009002
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发表时间：
1981
影响因子：
--
通讯作者：
F. Fékété
中科院分区：
文献类型：
--
作者：
J. Belghiti;P. Grenier;O. Nouel;H. Nahum;F. Fékété
对15例远端脾肾分流术伴胃脾离断术后分流通畅的患者进行了前瞻性血管造影研究。在所有患者中，从门肠系膜到胃脾系统的侧支循环通过扩大的静脉通道发展。在所有患者中，门静脉血流量减少，如血管造影评估的肝脏门静脉灌注降低和/或门静脉直径减小所示。2例患者门静脉血栓形成。我们的结论是，手术后三个月，远端脾肾分流术与胃脾离断术在血流动力学上与门腔静脉侧外侧分流术没有不同。
Fifteen patients with a patent shunt after distal splenorenal shunt with gastrosplenic disconnection were prospectively studied by angiography three to 36 months after operation. In all patients a collateral circulation from the portomesenteric to the gastrosplenic system was developed through enlarged venous channels. In all patients the portal flow decreased, as suggested by the angiographically assessed degradation of the portal perfusion of the liver and/or the diminution of the diameter of the portal vein. In two patients the portal vein was thrombotic. We conclude that three months after operation distal splenorenal shunt with gastrosplenic disconnection is not hemodynamically different than portacaval laterolateral shunt.