The Linton splenorenal shunt in the management of the bleeding complications of portal hypertension

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 functi...

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Bibliographic Details
Published inAnnals of surgery Vol. 196; no. 6; pp. 664 - 668
Main Author Ottinger, L W
Format Journal Article
LanguageEnglish
Published United States 01.12.1982
Subjects
Adolescent
Adult
Aged
Child
Esophageal and Gastric Varices - surgery
Female
Gastrointestinal Hemorrhage - surgery
Hepatic Encephalopathy - etiology
Humans
Hypertension, Portal - complications
Length of Stay
Male
Middle Aged
Portasystemic Shunt, Surgical - methods
Splenorenal Shunt, Surgical - adverse effects
Splenorenal Shunt, Surgical - methods
Splenorenal Shunt, Surgical - mortality
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Summary: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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-198212001-00008