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The authors report the hemodynamic study of 22 cases of calibrated side-to-side portacaval shunts performed in patients with liver cirrhosis. In all patients, hepatopetal portal blood flow was present before the operation. According to the data obtained by scintiangiography and angiography, hepatopetal portal flow was maintained in 70 p. 100 of the patients immediately after the operation. After one year there was a discrepancy between the results of scintiangiography and those of conventional angiography: while portal flow seemed to be hepatopetal on the scintigraphy in 11 of controlled patients, it decreased or disappeared on the angiography in 6 other controlled patients. These results are comparable to those of selective shunts and suggest that the calibrated side-to-side portacaval shunt is a valuable procedure in maintaining hepatopetal portal flow. A controlled trial would be useful to assess the place of this operation in the treatment of portal hypertension due to cirrhosis.
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
January 1980,
Chirurgie; memoires de l'Academie de chirurgie,
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
January 1992,
Annales de chirurgie,
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
March 1973,
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J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
January 1981,
Medecine & chirurgie digestives,
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
December 1958,
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J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
November 1981,
Minerva chirurgica,
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
March 1949,
The Proceedings of the Institute of Medicine of Chicago,
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
October 1987,
Presse medicale (Paris, France : 1983),
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
December 1961,
La Presse medicale,
J G Balique, and
M Chabert, and
A Champailler, and
M A Vigne-Rebaud, and
P Espalieu, and
G Hugonnier, and
J Cuilleret
January 1965,
La Presse medicale,
