A. Harmantas et al., Selective vs total portosystemic shunts in the treatment of variceal hemorrhage in cirrhotic patients: is there any advantage?, HEPATOL RES, 14(2), 1999, pp. 144-153
With the development of sclerotherapy, transjugular intrahepatic portasyste
mic shunting and liver transplantation, the role of surgically-constructed
portacaval shunts in the treatment of variceal hemorrhage is in evolution,
Further. when these shunts are indicated, there is controversy as to the ap
propriate shunt type that should be created, A selective portosystemic shun
t (distal splenorenal shunt) has an advantage of having a decreased encepha
lopathy rate without an increase in shunt thrombosis and rebleeding compare
d to total portosystemic shunts, There are currently no reports comparing t
he partially selective H-graft shunt with the distal splenorenal shunt, (C)
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