Bass A, Stoller M, Rosenman J, Adar R
Isr J Med Sci. 1980 Sep-Oct;16(9-10):684-5.
Two policies concerning portosystemic shunt for bleeding esophageal varices were compared. In 18 patients, splenorenal or portocaval shunts were performed according to anatomic and hematologic considerations. In 13 patients, only mesocaval H grafts were performed. In the latter group, more patients had poor liver reserve and required urgent surgery. Accordingly, early and late mortality and morbidity were higher in these patients. the technical ease of performance of the mesocaval H graft did not cancel out increased risk in poorer candidates for surgery.
对关于用于治疗出血性食管静脉曲张的门体分流术的两项政策进行了比较。18例患者根据解剖学和血液学因素进行了脾肾分流术或门腔分流术。13例患者仅进行了肠系膜上腔静脉H型搭桥术。在后一组中，更多患者肝脏储备功能差且需要紧急手术。因此，这些患者的早期和晚期死亡率及发病率更高。肠系膜上腔静脉H型搭桥术操作上的简便性并未抵消手术条件较差的患者所增加的风险。
