Evaluation of distal splenorenal shunt as an urgent surgical intervention in the management of acute variceal bleeding
Joint Authors
Mahmud, Muhammad Mazlom Zakariyya
alshazly, Walid Jalal
Gaweesh, Yusri
Muhammad, Muhammad Abd al-Latif
Source
Tanta Medical Sciences Journal
Issue
Vol. 1, Issue 4 (31 Dec. 2006), pp.121-131, 11 p.
Publisher
Tanta Medical Sciences Society
Publication Date
2006-12-31
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Topics
Abstract EN
Aim : the aim of the work was to evaluate distal splenorenal shunt as an urgent surgical intervention in management of acute variceal bleeding in Egyptian patients with portal hypertension.
Patients and Methods : this study included 26 patients with acute variceal bleeding needing urgent surgery.
All patients underwent distal splenorenal shunt, and patients were followed up for at least one year.
Preoperatively and during the follow up period hepatic functions, portal homodynamic, and the state of varices were assessed.
Results : control of bleeding was achieved in 88.46 % of patients, re bleeding varices was reported in 3 patients (11.54 %).
No intra-operative mortality, with a reasonable operative time of 148.00 ± 50.05 minutes.
The immediate post-operative mortality was 7.69 %, and one patient died during follow up.
Post-operative morbidity was in the form of encephalopathy in 23.08 % of patients, severe ascites in 15.38 %, and partial wound dehiscence in 11.54 % of patients.
The mean follow up period was 21 ± 4.34 months.
Conclusions : dDistal splenorenal shunt is a good surgical option for management of urgent variceal bleeding after failure of conservative measures, provided that there are available well trained personnel.
American Psychological Association (APA)
Mahmud, Muhammad Mazlom Zakariyya& alshazly, Walid Jalal& Gaweesh, Yusri& Muhammad, Muhammad Abd al-Latif. 2006. Evaluation of distal splenorenal shunt as an urgent surgical intervention in the management of acute variceal bleeding. Tanta Medical Sciences Journal،Vol. 1, no. 4, pp.121-131.
https://search.emarefa.net/detail/BIM-277654
Modern Language Association (MLA)
Mahmud, Muhammad Mazlom Zakariyya…[et al.]. Evaluation of distal splenorenal shunt as an urgent surgical intervention in the management of acute variceal bleeding. Tanta Medical Sciences Journal Vol. 1, no. 4 (Dec. 2006), pp.121-131.
https://search.emarefa.net/detail/BIM-277654
American Medical Association (AMA)
Mahmud, Muhammad Mazlom Zakariyya& alshazly, Walid Jalal& Gaweesh, Yusri& Muhammad, Muhammad Abd al-Latif. Evaluation of distal splenorenal shunt as an urgent surgical intervention in the management of acute variceal bleeding. Tanta Medical Sciences Journal. 2006. Vol. 1, no. 4, pp.121-131.
https://search.emarefa.net/detail/BIM-277654
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 129-131
Record ID
BIM-277654