Use of distal splenorenal shunt in children referred for liver transplant evaluation

• Published in: Journal of pediatric surgery Vol. 29; no. 3; pp. 403 - 406
• Main Authors: Renard, Thomas H., Andrews, Walter S., Rollins, Nancy, Zwiener, R.Jeffery, Andersen, John, Shimaoka, Satoru, McClelland, Robert N.
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Elsevier Inc 01.03.1994; Elsevier
• Subjects: Adolescent; Biological and medical sciences; Child; Esophageal and Gastric Varices - diagnosis; Esophageal and Gastric Varices - etiology; Esophageal and Gastric Varices - surgery; Female; Gastrointestinal Hemorrhage - diagnosis; Gastrointestinal Hemorrhage - etiology; Gastrointestinal Hemorrhage - surgery; Humans; Hypertension, Portal - complications; Liver Transplantation; Liver, biliary tract, pancreas, portal circulation, spleen; Magnetic Resonance Imaging; Male; Medical sciences; Portal Vein; Portography; Postoperative Complications; Splenorenal Shunt, Surgical; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Thrombosis - complications; Time Factors; liver transplant; Splenorenal shunt, distal; Human; Shunt; Indication; Splenorenal; Diseases of portal circulation; Treatment efficiency; Cardiovascular disease; Hepatic disease; Vascular disease; Surgery; Distal; Portal hypertension; Digestive diseases; Child

Variceal bleeding remains a common cause of morbidity for children with both intrahepatic and extrahepatic portal hypertension. Occasionally, patients referred for liver transplant evaluation have significant variceal bleeding, despite adequate synthetic liver function. During a 7-year period, 322 c...