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EXPERIENCES WITH EMERGENCY PORTA‐CAVAL SHUNT
Author(s) -
HOFFMAN D. C.,
JEPSON R. P.,
HARRIS J. D.
Publication year - 1969
Publication title -
australasian annals of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0571-9283
DOI - 10.1111/imj.1969.18.3.238
Subject(s) - medicine , varices , shunt (medical) , liver function , surgery , portosystemic shunt , portal hypertension , emergency department , cirrhosis , general surgery , gastroenterology , psychiatry
SUMMARY (1) Our experiences with 20 cases of emergency porta‐caval shunt for bleeding cesophageal varices are reviewed. (2) The difference in behaviour between cryptogenic and alcoholic cirrhotics is outlined, and the need for strict selection in the case of the latter group is emphasized. (3) It is our view that, if liver function is good, this operation is the preferred emergency treatment for persistent bleeding from cesophageal varices. (4) For those alcoholics with significantly impaired liver function, no adequate therapy appears available.