Surgical Treatment of Giant Spontaneous Splenorenal Shunt Associated with Idiopathic Hypertension : A Report of Two Cases
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- Nakajima Kimihiro
- Second Department of Surgery, Hokkaido University School of Medicine
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- Katoh Hiroyuki
- Second Department of Surgery, Hokkaido University School of Medicine
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- Okushiba Shunichi
- Second Department of Surgery, Hokkaido University School of Medicine
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- Shimozawa Eiji
- Second Department of Surgery, Hokkaido University School of Medicine
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- Tanabe Tatsuzo
- Second Department of Surgery, Hokkaido University School of Medicine
Bibliographic Information
- Other Title
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- 巨大脾腎静脈短絡の2治験例
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Abstract
Two patients with giant spontaneous splenorenal shunts are presented. Case 1. A 34-year-old man spontaneously developed a giant splenorenal shunt. Small esophageal varices were present, and mentation was normal. Because the serum anmonia concentration was elvated, we constructed a selective splenorenal shunt with splenopancreatic and gastric disconnection to decrease shunt flow and prevent enlargement of the varices. Case 2. A 27-year-old man was noted to have small esophageal varices without any elevation of the serum anmonia concentration. We constructed a splenorenal shunt using a spontaneous splenorenal shunt with spleno-gastric disconnection to prevent subsequent development of hepatic encephalopathy. Patients with a giant spontaneous splenorenal shunt are at risk of progressive hepatic encephalopathy and liver dysfunction secondary to reduced portal vein flow. To prevent this, it is necessary to divert the shunt flow ; a selective splenorenal shunt with pancreatic gastric disonnection should be constructed to prevent enlargement of esophageal varices.
Journal
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- The Japanese journal of gastroenterological surgery
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The Japanese journal of gastroenterological surgery 25 2545-2549, 1992
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1573950401610024448
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- NII Article ID
- 110001325455
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- NII Book ID
- AN00192066
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- ISSN
- 03869768
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- Text Lang
- ja
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- Data Source
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- CiNii Articles