Kieninger G
Chirurg. 1981 Nov;52(11):717-21.
Distal splenorenal shunt was performed in 17 patients with bleeding esophageal varices and/or hypersplenism. As an elective operation the results were very good, whereas the shunt should not be used as an emergency operation. During an observation period of 6-30 months none of the 13 surviving patients developed a recurrent hemorrhage or portosystemic encephalopathy. An existing hypersplenism was improved in all cases. In our opinion the distal splenorenal shunt is the optimal elective surgical management for bleeding esophageal varices, since it offers effective control of recurrent hemorrhage without the risk of encephalopathy.
对17例伴有食管静脉曲张出血和/或脾功能亢进的患者实施了远端脾肾分流术。作为择期手术，效果非常好，而该分流术不应作为急诊手术使用。在6至30个月的观察期内，13例存活患者均未出现复发性出血或门体性脑病。所有病例中现有的脾功能亢进均得到改善。我们认为，远端脾肾分流术是治疗食管静脉曲张出血的最佳择期手术方式，因为它能有效控制复发性出血且无脑病风险。
