Search

Search Results

• Book

  Zollinger's Atlas of surgical operations. Tenth edition

  E. Christopher Ellison, Robert M. Zollinger, Jr. ; illustrations for tenth edition by Marita Bitans ; illustrations for previous editions by Marita Bitans, Jennifer Smith, Carol Donner, Mildred Codding, Paul Fairchild, and William Ollila.

  Digital Access AccessSurgery 2016
  Get Shareable Link

  View Details
• Article

  "To select better--to shunt better" Voraussetzungen für eine effizientere Shunt-Therapie bei Leberzirrhose--Ubersicht "To select better--to shunt better" prerequisites for better shunt therapy in liver cirrhosis. Review.

  Thiel H, Wolter J.

  Fortschr Med. 1977 May 05;95(17):1159-66.

  Essentially 3 facts are responsible for the poor clinical outcome after porta-caval shunt in liver cirrhosis today: 1. Further reduction of hepatic blood flow, 2. total or nearly complete deprivation of the liver of portal venous blood supply with essential substances and functions and 3. insufficient criteria for selection. Since there exists no alternative procedure in decompressing bleeding varices in the end, porta-caval anastomoses will have to be performed also in the future. Therefore all efforts must be undertaken to improve the operative and longterm results, including a better preoperative selection and a better shunting. Determination of "functional" liver volume, knowledge of hepatic arterial reaction and preoperative determination of the intrahepatic shunt-flow might be very promising aspects in the selection today. In porta-caval surgery a differentiated choice of the available shunting methods to be applied, especially techniques for selective decompression and liver arterialization, may improve the results. Finally, the aim in each case should be a porta-caval shunt adapted to the individual situation of the cirrhotic patient.

  Digital Access Access Options
  Get Shareable Link

  PubMed