Shunt splenorenale distale Anastomosi della vena splenica con la vena renale sinistra, tramite legatura della vena splenica più centrale immediatamente al di sotto della sua giunzione con le vene mesenteriche, per l’eliminazione del sanguinamento delle varici esofagee che conseguono a ipertensione portale. Viene detta anche shunt di Warren. Fig 1: Portal hypertension before the distal splenorenal shunt surgery is performed. Varices develop across the esophagus and stomach from the pressure in the portal vein. The backup of pressure also causes the spleen to become enlarged. Fig 2: After the distal splenorenal shunt surgery is performed. 11 patients 14.9%, respectively, after DSRS. In 9 pa-tients, DSRS was used as salvage for failed transjugular intrahepatic portosystemic shunt. Conclusions: Distal splenorenal shunt is a safe, du-rable, and effective treatment for controlling recurrent variceal hemorrhage in patients with acceptable opera-tive risk and good liver function.
A distal splenorenal shunt DSRS is a type of surgery done to relieve extra pressure in the portal vein. The portal vein carries blood from your digestive organs to your liver. Jenkins RL, Gedaly R, Pomposelli JJ, et al. Distal splenorenal shunt: role, indications, and utility in the era of liver transplantation. Arch Surg. 1999 Apr;1344:416-20. Elwood DR, Pomposelli JJ, Pomfret EA, et al. Distal splenorenal shunt: preferred treatment for recurrent variceal hemorrhage in the patient with well-compensated cirrhosis. In medicine, a distal splenorenal shunt procedure DSRS, also splenorenal shunt procedure and Warren shunt, is a surgical procedure in which the distal splenic vein a part of the portal venous system is attached to the left renal vein a part of the systemic venous system. HE DISTAL SPLENORENAL shunt DSRS was first de-scribedin1967byWarren and colleagues1 as a long-termsurgicaltreatmentfor portal hypertension and variceal hemor-rhage VH. Management of VH at that time was limited to medical interven-tions, Sengstaken-Blakemore tube com
Technique for Distal Splenorenal Shunt. Attention to detail in perioperative and postoperative monitoring and management of a patient undergoing DSRS improves outcome. Monitoring requires an arterial line, a central venous catheter, and a urinary catheter. Good venous access should be obtained in the event that rapid transfusion is required. 16/01/2012 · Distal Splenorenal Shunt - Presentation SoccerNeal16. Loading. Unsubscribe from. DSRS. Category Education; Show more Show less. autoplay is enabled, a suggested video will automatically play next. Up next Shunting Explained Clearly Pulmonary Shunt - Duration: 12:08. MedCram - Medical Lectures Explained CLEARLY. The distal splenorenal shunt DSRS is widely known as the Warren shunt, and was introduced in 1966 by W. Dean Warren when he worked in Miami. Its development in conjunction with Drs. Zeppa and Foman brought together expertise in decompression of varices and devascularization procedures.
04/01/2017 · Abstract. Controversy still surrounds the place of portalsystemic shunting in the therapy of bleeding esophageal varices. Recently, a selective shunt, the distal splenorenal shunt, has achieved some degree of popularity and, apparently, is associated with less chronic encephalopathy. 01/04/1999 · The distal splenorenal shunt DSRS. Distal splenorenal shunting continues to be a safe and effective procedure for controlling recurrent variceal hemorrhage and should be the treatment of choice for patients with acceptable operative risk and good liver function. The distal splenorenal shunt DSRS, as the prototype for selective variceal decompression, has evolved over the 17 years since its introduction. Attention to detail in the preoperative assessment and perioperative management will minimize morbidity. 04/03/2015 · Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder - Duration: 6:55. Society of American Gastrointestinal and Endoscopic Surgeons SAGES 9,269 views.
21/12/2018 · What complications are associated with distal splenorenal shunt DSRS surgery for portal hypertension? ANSWER Ascites, an accumulation of fluid in the abdomen, can occur with distal splenorenal shunt DSRS surgery. The distal splenorenal shunt effectively controls variceal bleeding and maintains portal flow to the liver. Hepatic function can be maintained and encephalopathy reduced compared to use of total shunts. Shunt porto-sistemico, DSRS,. dai pazienti con cirrosi. In più, il TIPS è riduce l'ascite accumulo di liquidi nell'addome, al contrario del DSRS. È stato infatti utilizzato con successo per trattare l'ascite severa che non rispondeva più all'uso di farmaci diuretici,. Potrai leggerlo quando vorrai accedendo alla tua Area Personale. 03/09/2018 · A distal splenorenal shunt DSRS is a type of surgery done to relieve extra pressure in the portal vein. The portal vein carries blood from your digestive organs to your liver. A splenorenal shunt refers to an abnormal collateral portosystemic communication between the splenic vein and the left renal vein. It is one of the features of portal hypertension. See also portosystemic shunts.
Objectives: This prospective, controlled randomized study was designed to compare distal splenorenal shunt DSRS and 8-mm diameter portocaval shunt Sarfeh with extensive collateral ligation PCS-CL in the elective management of Child-Pugh class A and B schistosomal variceal bleeders. Spontaneous splenorenal shunt is a rare condition, sometimes causing complications in cirrhotic patients. We report a 30-year old man with liver cirrhosis, hypertrophic caudal lobe and spontaneous splenorenal shunt. Real-time and color Doppler ultrasonography evidenced enlarged caudal lobe 130 x 95 mm with direct veins draining into.
distal sple·no·re·nal shunt anastomosis of the splenic vein to the left renal vein, usually end-to-side, for control of portal hypertension. Synonyms: renal-splenic venous shunt, Warren shunt dis·tal sple·no·re·nal shunt dis'tăl splē'nō-rē'năl shŭnt Anastomosis of the splenic vein to the left renal vein, usually end-to-side. The distal splenorenal shunt DSRS was compared with the side-t-side portacaval shunt PCS in 93 prospectively matched cirrhotic patients with portal hypertension. After a mean follow-up of 38 months, no differences were observed in operative mortality, long term. 13/01/2017 · Lienorenal shunt LRS was performed in 14 patients; distal splenorenal shunt DSRS, side to side lienorenal shunt SSLR and inferior mesentric renal shunts were performed in 21, 4 and 1 cases. Patients with very large spleens or with obvious large infarcts total-14 were not considered for a spleen preserving shunt and they received a LRS.
Un problema presentato dallo shunt per correnti elevate è dato dalle resistenze parassite presenti nei morsetti di collegamento tra i cavi e lo shunt stesso. I valori in Ohm di queste resistenze sono aleatori e instabili, dipendendo da quanto sono stretti i bulloni, dallo stato di ossidazione ecc. • deviatori SHUNT realizzati in lastre di calcio silicato ad alta densità prelavorate. • griglie di aspirazione che possono essere di varie tipologie, dimensione e colore. I deviatori vengono montati con opportuni fissaggi direttamente alle pareti del camino. Il sistema è certificato EI 120'. I have just modified 2 external links on Distal splenorenal shunt procedure. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes. 01/10/2002 · HypothesisSplenorenal shunt, an accepted treatment to prevent recurrent variceal bleeding, is an ideal procedure for patients with psychosocial issues or limited access to tertiary medical centers.MethodsWe retrospectively reviewed the medical records of 34 patients 32 distal splenorenal shunts and 2 central splenorenal shunts treated from.
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