Medical Practice

Clinical Problems: Elective Splenorenal Anastomosis

Br Med J 1972; 1 doi: (Published 18 March 1972) Cite this as: Br Med J 1972;1:731
  1. A. G. Riddell,
  2. K. Bloor,
  3. K. E. F. Hobbs,
  4. N. Jacquet


    Thirty-six patients underwent splenorenal anastomosis for haemorrhage from oesophageal varices. Twenty-nine patients were cirrhotics and seven had extrahepatic blocks or congenital hepatic fibrosis. The patients have been followed from 16 years to 6 months. The operative mortality was 11%. Recurrent haemorrhage occurred in two patients (6%) and neurological manifestations in 38% of the patients at risk. It is concluded that splenorenal anastomosis is associated with a high degree of shunt patency.

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