Matches in SemOpenAlex for { <https://semopenalex.org/work/W2020118944> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W2020118944 endingPage "547" @default.
- W2020118944 startingPage "547" @default.
- W2020118944 abstract "Of 77 patients with repeated variceal hemorrhage who underwent distal splenorenal shunt, five (6.5%) developed rebleeding despite a patent splenorenal anastomosis. Three of the five patients died. Early variceal rebleeding usually indicates shunt thrombosis but may occur with a patent anastomosis. Anatomic or functional left renal vein and/or splenic vein hypertension producing incomplete variceal decompression is generally the cause. Ineffective separation of the main portal vein from the gastrosplenic venous plexus may coexist and further intensify variceal congestion. Urgent angiographic studies and direct shunt catheterization with measurement of splenic vein, left renal vein, and inferior vena cava pressures should be performed to plan appropriate therapy. A significant gradient between the splenic and renal veins is evidence of an unsatisfactory anastomosis and should be managed by balloon angioplasty or reoperation. High splenic and left renal vein pressures with a gradient of more than 10 mm Hg between the renal vein and the inferior vena cava indicate renal vein hypertension. Initial therapy should include serial injection sclerotherapy, as renal vein hypertension will usually resolve over time as additional collaterals develop. However, persistent or recurrent variceal hemorrhage may require total portal decompression to bypass the restrictive left renal vein segment." @default.
- W2020118944 created "2016-06-24" @default.
- W2020118944 creator A5000439484 @default.
- W2020118944 creator A5016881020 @default.
- W2020118944 creator A5039193996 @default.
- W2020118944 creator A5050951214 @default.
- W2020118944 creator A5065589180 @default.
- W2020118944 creator A5075092117 @default.
- W2020118944 date "1986-05-01" @default.
- W2020118944 modified "2023-09-27" @default.
- W2020118944 title "Early Variceal Rebleeding After Successful Distal Splenorenal Shunt" @default.
- W2020118944 cites W1971433331 @default.
- W2020118944 cites W1991026040 @default.
- W2020118944 cites W1992520824 @default.
- W2020118944 cites W1998760573 @default.
- W2020118944 cites W2004687676 @default.
- W2020118944 cites W2019611912 @default.
- W2020118944 cites W2026824578 @default.
- W2020118944 cites W2029368858 @default.
- W2020118944 cites W2035289844 @default.
- W2020118944 cites W2035521443 @default.
- W2020118944 cites W2052115993 @default.
- W2020118944 cites W2071642593 @default.
- W2020118944 cites W2088814625 @default.
- W2020118944 cites W2094086714 @default.
- W2020118944 cites W2155477103 @default.
- W2020118944 cites W2315828738 @default.
- W2020118944 cites W2340972084 @default.
- W2020118944 cites W2402007172 @default.
- W2020118944 cites W2411410369 @default.
- W2020118944 cites W2416242014 @default.
- W2020118944 cites W2418435577 @default.
- W2020118944 cites W2439844811 @default.
- W2020118944 cites W2970580162 @default.
- W2020118944 doi "https://doi.org/10.1001/archsurg.1986.01400050065008" @default.
- W2020118944 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/3486647" @default.
- W2020118944 hasPublicationYear "1986" @default.
- W2020118944 type Work @default.
- W2020118944 sameAs 2020118944 @default.
- W2020118944 citedByCount "18" @default.
- W2020118944 crossrefType "journal-article" @default.
- W2020118944 hasAuthorship W2020118944A5000439484 @default.
- W2020118944 hasAuthorship W2020118944A5016881020 @default.
- W2020118944 hasAuthorship W2020118944A5039193996 @default.
- W2020118944 hasAuthorship W2020118944A5050951214 @default.
- W2020118944 hasAuthorship W2020118944A5065589180 @default.
- W2020118944 hasAuthorship W2020118944A5075092117 @default.
- W2020118944 hasConcept C126322002 @default.
- W2020118944 hasConcept C126838900 @default.
- W2020118944 hasConcept C141071460 @default.
- W2020118944 hasConcept C2776981413 @default.
- W2020118944 hasConcept C2777214474 @default.
- W2020118944 hasConcept C2778230777 @default.
- W2020118944 hasConcept C2778808290 @default.
- W2020118944 hasConcept C2779774813 @default.
- W2020118944 hasConcept C2780091579 @default.
- W2020118944 hasConcept C2780968331 @default.
- W2020118944 hasConcept C2910216633 @default.
- W2020118944 hasConcept C71924100 @default.
- W2020118944 hasConcept C8443397 @default.
- W2020118944 hasConceptScore W2020118944C126322002 @default.
- W2020118944 hasConceptScore W2020118944C126838900 @default.
- W2020118944 hasConceptScore W2020118944C141071460 @default.
- W2020118944 hasConceptScore W2020118944C2776981413 @default.
- W2020118944 hasConceptScore W2020118944C2777214474 @default.
- W2020118944 hasConceptScore W2020118944C2778230777 @default.
- W2020118944 hasConceptScore W2020118944C2778808290 @default.
- W2020118944 hasConceptScore W2020118944C2779774813 @default.
- W2020118944 hasConceptScore W2020118944C2780091579 @default.
- W2020118944 hasConceptScore W2020118944C2780968331 @default.
- W2020118944 hasConceptScore W2020118944C2910216633 @default.
- W2020118944 hasConceptScore W2020118944C71924100 @default.
- W2020118944 hasConceptScore W2020118944C8443397 @default.
- W2020118944 hasIssue "5" @default.
- W2020118944 hasLocation W20201189441 @default.
- W2020118944 hasLocation W20201189442 @default.
- W2020118944 hasOpenAccess W2020118944 @default.
- W2020118944 hasPrimaryLocation W20201189441 @default.
- W2020118944 hasRelatedWork W1964838505 @default.
- W2020118944 hasRelatedWork W2058617552 @default.
- W2020118944 hasRelatedWork W2061056670 @default.
- W2020118944 hasRelatedWork W2135063551 @default.
- W2020118944 hasRelatedWork W2418817989 @default.
- W2020118944 hasRelatedWork W2425864160 @default.
- W2020118944 hasRelatedWork W2444268861 @default.
- W2020118944 hasRelatedWork W2468360899 @default.
- W2020118944 hasRelatedWork W2574848427 @default.
- W2020118944 hasRelatedWork W2561118314 @default.
- W2020118944 hasVolume "121" @default.
- W2020118944 isParatext "false" @default.
- W2020118944 isRetracted "false" @default.
- W2020118944 magId "2020118944" @default.
- W2020118944 workType "article" @default.