Late results of mesocaval interposition shunting for XXXX oesophageal varices.

@entity75 @entity1 @entity190 @entity548
Survival, @entity75 and shunt patency were studied in 64 consecutive @entity1 who underwent mesocaval shunting with a wide-calibre Dacron prosthesis. Half of the @entity1 were operated as emergency cases. Operative @entity190 in @entity1 who had emergency procedures was significantly higher than during elective operations. Overall, 30-day mortality was 27 per cent. Survival was 61 per cent after 1 year and 39 per cent after 5 years. Serious @entity75 requiring hospital admission occurred in 5 @entity1 (11 per cent of @entity1 surviving more than 1 month). Shunt patency was assessed by scintisplenoportography and ultrasonography. Cumulative shunt occlusion rate was 16 per cent after 1 year, 33 per cent after 5 years and 52 per cent after 8 years of follow-up. Out of 17 @entity1 with an occluded shunt, 9 had persistent or recurrent @entity548 , while 3 @entity1 had recurrent @entity548 despite a patent shunt. We conclude that the mesocaval Dacron interposition shunt should not be recommended as the procedure of first choice for portosystemic shunting.
