Open AccessThe Linton Splenorenal Shunt in the Management of the Bleeding Complications of Portal Hypertension
Author(s) -
Leslie W. Ottinger
Publication year - 1982
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198212001-00008
Subject(s) - medicine , portal hypertension , hepatic encephalopathy , liver failure , surgery , severe bleeding , shunt (medical) , gastroenterology , cirrhosis
This report describes 140 cases in which Linton splenorenal shunts were performed for the management of the complications of portal hypertension by a large number of surgeons in a single hospital. There was a history of variceal bleeding in 130. Using the Childs designation to reflect hepatic functional reserve, the overall operative mortality was 12% (3 for A; 6 for B; 26 for C). Five-year survival was 41% (57 for A; 35 for B; 26 for C). Subsequent variceal bleeding was noted in 10% of survivors; hepatic encephalopathy in 19%; and terminal liver failure in 18%. Classification and results are reported in a form that should facilitate comparison with other methods of management.