Encephalopathy caused by a splenorenal shunt can be reversed by performing a mesenteric-to-left portal vein bypass

Bill Chiu, Riccardo A Superina*

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Surgically created portosystemic shunts can alleviate the symptoms of bleeding from gastric and esophageal varices and improve the hematologic consequences of hypersplenism in patients with portal hypertension. However, the diversion of mesenteric venous blood away from the liver can result in encephalopathy. In this report, we describe a case in which encephalopathy caused by a proximal splenorenal shunt was reversed by the restoration of portal flow to the liver by a mesenteric-to-left portal vein bypass operation.

Original languageEnglish (US)
Pages (from-to)1177-1179
Number of pages3
JournalJournal of Pediatric Surgery
Volume41
Issue number6
DOIs
StatePublished - Jun 1 2006

Fingerprint

Surgical Splenorenal Shunt
Brain Diseases
Portal Vein
Hypersplenism
Surgical Portasystemic Shunt
Esophageal and Gastric Varices
Liver
Portal Hypertension
Hemorrhage

Keywords

  • Encephalopathy
  • Splenorenal shunt

ASJC Scopus subject areas

  • Surgery

Cite this

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abstract = "Surgically created portosystemic shunts can alleviate the symptoms of bleeding from gastric and esophageal varices and improve the hematologic consequences of hypersplenism in patients with portal hypertension. However, the diversion of mesenteric venous blood away from the liver can result in encephalopathy. In this report, we describe a case in which encephalopathy caused by a proximal splenorenal shunt was reversed by the restoration of portal flow to the liver by a mesenteric-to-left portal vein bypass operation.",
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Encephalopathy caused by a splenorenal shunt can be reversed by performing a mesenteric-to-left portal vein bypass. / Chiu, Bill; Superina, Riccardo A.

In: Journal of Pediatric Surgery, Vol. 41, No. 6, 01.06.2006, p. 1177-1179.

Research output: Contribution to journalArticle

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AU - Chiu, Bill

AU - Superina, Riccardo A

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AB - Surgically created portosystemic shunts can alleviate the symptoms of bleeding from gastric and esophageal varices and improve the hematologic consequences of hypersplenism in patients with portal hypertension. However, the diversion of mesenteric venous blood away from the liver can result in encephalopathy. In this report, we describe a case in which encephalopathy caused by a proximal splenorenal shunt was reversed by the restoration of portal flow to the liver by a mesenteric-to-left portal vein bypass operation.

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KW - Splenorenal shunt

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