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research
Distal Splenorenal Shunt for Portal Vein Thrombosis after Liver Transplantation
Authors
CO Esquivel
J Malatack
+5 more
IR Marino
VP Scantlebury
BW Shaw
TE Starzl
AB Zajko
Publication date
1 January 1989
Publisher
'Wiley'
Doi
View
on
PubMed
Abstract
A 17‐yr‐oId female received a liver transplant for type I glycogen storage disease. A year later, when she experienced variceal gastrointestinal hemorrhage, an angiogram revealed thrombosis of the portal vein with hepatopetal collateral channels. A distal splenorenal shunt was performed because of failure of sclerotherapy to control subsequent bleeding episodes and the fact that the liver function was normal. This patient continues to have normal hepatic function with a patent splenorenal shunt 4 yr after the shunting procedure. This case illustrates the feasibility of a distal splenorenal shunt to alleviate portal hypertension in cases of thrombosis of the portal vein following hepatic transplantation if the liver function is normal. Copyright © 1989, Wiley Blackwell. All rights reserve
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