Reichle F A, Fahmy W F, Golsorkhi M
Am J Surg. 1979 Jan;137(1):13-21. doi: 10.1016/0002-9610(79)90004-7.
In a randomized study, the rate of postshunt encephalopathy was significantly lower after distal splenorenal shunting than after mesocaval shunting. Either shunt can be performed electively with a low operative mortality. If initial hemorrhage cannot be controlled, mortality may be minimized by mesocaval shunting. Advanced cirrhosis is not a contraindication to elective or emergency portasystemic shunting.
在一项随机研究中，远端脾肾分流术后分流性脑病的发生率显著低于肠系膜上静脉-腔静脉分流术后。两种分流术均可择期进行，手术死亡率低。如果初始出血无法控制，肠系膜上静脉-腔静脉分流术可将死亡率降至最低。晚期肝硬化不是择期或急诊门体分流术的禁忌证。
