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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
3
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pubmed:dateCreated |
1976-1-8
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pubmed:abstractText |
A retrospective review of surgical treatment for portal hypertension during a 23-year period in a regional unit is reported and the immediate and subsequent management of patients with bleeding oesophageal varices is discussed. Fifty-four patients with recurrent varix haemorrhage uncontrolled by conservative methods have been treated by oesophageal transection with a mortality of 22.2% (26.6% for cirrhotic patients). Thirty-two per cent of the cirrhotics were alive after 2 years. Only a minority (12%) of the survivors were considered suitable for a subsequent shunt procedure. Therapeutic portacaval anastomosis has been performed on 65 patients with a 51.2% 5-year survival (43-5% for cirrhotic patients). Further haemorrhage due to shunt thrombosis occurred in 5-3% of cases. The frequent occurrence of portal-systemic encephalopathy, increasing with duration of time following a shunt, is emphasized. The high morbidity and mortality in the poor-risk cirrhotic indicated that this type of patient is unsuitable for a portal-systemic shunt and is better treated by medical means.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-13218534,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-13467618,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-13590430,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-13636686,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-13752660,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-13854470,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-13946478,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-14040163,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-14061707,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-14290546,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-14473739,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-17858665,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-4263236,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-4541911,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-4541914,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-5308037,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-5313280,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-5313394,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-5327472,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-5441739,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-5766314,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1081360-5974497
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0035-8843
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
57
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
148-58
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading |
pubmed-meshheading:1081360-Adult,
pubmed-meshheading:1081360-Emergencies,
pubmed-meshheading:1081360-Esophageal and Gastric Varices,
pubmed-meshheading:1081360-Female,
pubmed-meshheading:1081360-Gastrointestinal Hemorrhage,
pubmed-meshheading:1081360-Humans,
pubmed-meshheading:1081360-Hypertension, Portal,
pubmed-meshheading:1081360-Liver Cirrhosis,
pubmed-meshheading:1081360-Portacaval Shunt, Surgical
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pubmed:year |
1975
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pubmed:articleTitle |
Emergency and elective surgical treatment of portal hypertension. A review of 23 years' experience.
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pubmed:publicationType |
Journal Article,
Case Reports
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