Moreno González E, Hebrero San Martin J, Solis Herruzo J A, Rico Selas P, Rodriguez Agulló J L
Surg Gynecol Obstet. 1977 Oct;145(4):565-9.
In 26 interposition mesocaval shunts using an internal jugular vein autograft which has been performed since 1970, four patients had important abnormalities in the superior mesenteric vein, making impossible the usual subduodenal position of the jugular vein graft. In these four patients, a small pancreatectomy was performed between the transverse portion of the duodenum and the right aspect of the superior mesenteric vein, placing the interposition mesocaval shunt in a transduodenopancreatic position. No patient has had any bleeding after the operation nor have esophageal varices been found at the time of the last examination. During this period, all patients showed a remarkable tolerance to proteins, so that no patient has been on a low protein diet.
自1970年以来，共进行了26例使用自体颈内静脉的间置式肠系膜上腔静脉分流术，其中4例患者的肠系膜上静脉存在严重异常，使得颈静脉移植物无法置于十二指肠下方的常规位置。在这4例患者中，在十二指肠横部与肠系膜上静脉右侧之间进行了小范围的胰腺切除术，将间置式肠系膜上腔静脉分流术置于经十二指肠胰腺的位置。术后无患者出现出血情况，且在最后一次检查时未发现食管静脉曲张。在此期间，所有患者对蛋白质均表现出显著的耐受性，因此没有患者采用低蛋白饮食。
