|
rdf:type |
|
|
lifeskim:mentions |
|
|
pubmed:issue |
1
|
|
pubmed:dateCreated |
1988-8-11
|
|
pubmed:abstractText |
The distal splenorenal shunt (DSRS) was compared with the side-to-side portacaval shunt (PCS) in 93 prospectively matched patients with portal hypertension. After 38 months mean follow-up the two shunts had a different incidence of acute encephalopathy (22% in PCS group and 33% in DSRS group) and chronic encephalopathy (35% in PCS group and 17% in DSRS group), but the difference was not statistically significant. However, the only cases of severe and disabling chronic encephalopathy arose after PCS (p = 0.049). Actuarial curves of chronic encephalopathy showed that the maximum rate of encephalopathy (18%) in the DSRS group was reached 27 months after shunt surgery, whereas this value was reached and passed in PCS group only 4 months after shunt. Chronic encephalopathy occurred for a total duration of 20.1 months after PCS and only 11.1 months afer DSRS (p = 0.003) and occupied 46.3% of the follow-p of PCS patients, as contrasted to 18.7% of the follow-up of DSRS patients (p = 0.0001). DSRS is associated with a lower global incidence of chronic HE without severe forms and provides a better quality of life than does a nonselective shunt.
|
|
pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-14049,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-300005,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-308357,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3090954,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-310249,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-315102,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3486641,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3491317,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3527853,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3532968,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3756433,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3799896,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3880715,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-3890781,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-4023924,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-4056359,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-4416359,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-4545269,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-4890511,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-5098227,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-5299657,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-5409848,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6068492,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6359425,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6390991,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6506735,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6611093,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6614336,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6879434,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6965330,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6974543,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-6983305,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-7009309,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-7026401,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-7073351,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-7151524,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-7151525,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-7258542,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-7350837,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-831755,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3389941-868833
|
|
pubmed:language |
eng
|
|
pubmed:journal |
|
|
pubmed:citationSubset |
AIM
|
|
pubmed:status |
MEDLINE
|
|
pubmed:month |
Jul
|
|
pubmed:issn |
0003-4932
|
|
pubmed:author |
|
|
pubmed:issnType |
Print
|
|
pubmed:volume |
208
|
|
pubmed:owner |
NLM
|
|
pubmed:authorsComplete |
Y
|
|
pubmed:pagination |
104-9
|
|
pubmed:dateRevised |
2009-11-18
|
|
pubmed:meshHeading |
pubmed-meshheading:3389941-Female,
pubmed-meshheading:3389941-Hepatic Encephalopathy,
pubmed-meshheading:3389941-Humans,
pubmed-meshheading:3389941-Male,
pubmed-meshheading:3389941-Middle Aged,
pubmed-meshheading:3389941-Portacaval Shunt, Surgical,
pubmed-meshheading:3389941-Prospective Studies,
pubmed-meshheading:3389941-Quality of Life,
pubmed-meshheading:3389941-Splenorenal Shunt, Surgical
|
|
pubmed:year |
1988
|
|
pubmed:articleTitle |
Improved quality of life after distal splenorenal shunt. A prospective comparison with side-to-side portacaval shunt.
|
|
pubmed:affiliation |
San Paolo Institute of Biomedical Science, Department of Surgical Semeiology, Milan, Italy.
|
|
pubmed:publicationType |
Journal Article,
Comparative Study
|
