Modified distal splenorenal shunt with expanded XXXX interposition.

@entity1 @entity101 @entity341 @entity28406 @entity157 @entity1575 @entity736 @entity99
Two types of modified distal splenorenal shunt with expanded @entity736 (Gore-Tex; WL Gore _ Associates Inc., Elkton, Md.) interposition were performed in 18 consecutive @entity1 with esophageal or esophagogastric varices. There were 12 @entity1 and six @entity1 ranging in age from 32 to 76 years. The causes of portal @entity101 were @entity1575 in 15 @entity1 , chronic @entity99 in two, and @entity28406 in one. In five @entity1 the left gastric vein branched off from the splenic vein; bilateral gastric venous decompression was achieved by preserving the splenic vein. Porta-azygos disconnection was routinely performed by confirming repeated intraoperative direct splenoportography. The operations were elective in seven and were @entity341 in five @entity1 . Six @entity1 underwent a prophylactic shunt; all @entity1 had "red color signs" endoscopically, and three of them had concomitant @entity157 . Postoperative morbidity was minimal and there was no mortality. Shunt patency was confirmed angiographically in all @entity1 14 to 56 days after surgery. The varices disappeared or significantly improved in all @entity1 . No @entity1 had variceal bleeding postoperatively. @entity99 was transiently seen in one (the oldest) @entity1 .
