[Splenic repercussions after Warren's distal spleno -renal shunt]. 1977

P Loup, and R Mosimann

Volume and function of the spleen were checked in 14 patients 6 months to 7.5 years (average: 2.5 years) after Warren distal spleno-renal shunt. In addition to the shunt, the splenic artery was ligated proximally in 5 cases. Splenomegaly decreased in half of the patients. In 8 out of the 13 patients with preoperative hypersplenism, the latter improved or disappeared after operation. Increased splenomegaly or hypersplenism was never found postoperatively. Splenic effects of the distal spleno-renal shunt are related to the improvement of the venous stasis. Efficiency of the splenic artery ligation is so doubtful that we do not recommend such a procedure.

UI MeSH Term Description Entries
D006971 Hypersplenism Condition characterized by splenomegaly, some reduction in the number of circulating blood cells in the presence of a normal or hyperactive bone marrow, and the potential for reversal by splenectomy. Anemia, Splenic,Anemias, Splenic,Splenic Anemia,Splenic Anemias
D008026 Ligation Application of a ligature to tie a vessel or strangulate a part. Ligature,Ligations,Ligatures
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012082 Renal Veins Short thick veins which return blood from the kidneys to the vena cava. Renal Vein,Vein, Renal,Veins, Renal
D004932 Esophageal and Gastric Varices Dilated blood vessels in the ESOPHAGUS or GASTRIC FUNDUS that shunt blood from the portal circulation (PORTAL SYSTEM) to the systemic venous circulation. Often they are observed in individuals with portal hypertension (HYPERTENSION, PORTAL). Esophageal Varices,Gastric Varices,Esophageal Varix,Gastric Varix,Varices, Esophageal,Varices, Gastric,Varix, Esophageal,Varix, Gastric
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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