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Galambos JD Fulenwider JT (1986)
LeVeen vs Denver peritoneovenous shunts for intractable ascites of cirrhosisArch Surg, 121
C. Vons, C. Smadja, E. Bourstyn, A. Székely, P. Bonnet, D. Franco (1986)
Results of Portal Systemic Shunts in Budd‐Chiari SyndromeAnnals of Surgery, 203
J. Fulenwider, R. Smith, S. Redd, J. Ansley, J. Henderson, William Millikan, J. Galambos, W. Warren (1984)
Peritoneovenous shunts. Lessons learned from an eight-year experience with 70 patients.Archives of surgery, 119 10
C. Smadja, D. Franco (1985)
The LeVeen Shunt in the Elective Treatment of Intractable Ascites in Cirrhosis: A Prospective Study on 140 PatientsAnnals of Surgery, 201
Ferriere M Monnin E (1985)
La myocardiopathie latente des alcooliques chroniques avec ou sans atteinte hépatiqueGastroenterol Clin Biol, 9
C. Smadja, D. Tridard, D. Franco (1986)
Recurrent ascites due to central venous thrombosis after peritoneojugular (LeVeen) shunt.Surgery, 100 3
H. Welch, C. Welch, J. Carter (1964)
PROGNOSIS AFTER SURGICAL TREATMENT OF ASCITES: RESULTS OF SIDE-TO-SIDE SHUNT IN 40 PATIENTS.Surgery, 56
Narayan Pande, R. Resnick, W. Yee, V. Eckardt, J. Shurberg (1978)
Cirrhotic portal hypertension: morbidity of continued alcoholism.Gastroenterology, 74 1
Orloff MJ (1970)
Pathogenesis and surgical treatment of intractable ascites associated with alcoholic cirrhosisAnn NY Acad Sci, 170
M. Mutchnick, E. Lerner, H. Conn (1974)
Portal-systemic encephalopathy and portacaval anastomosis: a prospective, controlled investigation.Gastroenterology, 66 5
D. Harmon, Z. Demirjian, L. Ellman, J. Fischer (1979)
Disseminated intravascular coagulation with the peritoneovenous shunt.Annals of internal medicine, 90 5
F. Reichle, O. Owen (1979)
Hemodynamic Patterns in Human Hepatic Cirrhosis A Prospective Randomized Study of the Hemodynamic Sequelae of Distal Splenorenal (Warren) and Mesocaval ShuntsAnnals of Surgery, 190
H. Bismuth, D. Franco, J. Hepp (1974)
Portal‐Systemic Shunt in Hepatic Cirrhosis: Does the Type of Shunt Decisively Influence the Clinical Result?Annals of Surgery, 179
M. Epstein (1982)
Peritoneovenous shunt in the management of ascites and the hepatorenal syndromeGastroenterology, 82
Attarian E Welch CS (1958)
The treatment of ascites by side-to-side portacaval shuntBull NY Acad Med, 34
É. Monnin, M. Ferrière, F. Blanc, O. Duhamel, L. Bertrand (1985)
[Latent myocardiopathy in chronic alcoholic patients with or without hepatic involvement].Gastroenterologie clinique et biologique, 9 4
R. Prokesch, D. Rimland (1983)
Infectious complications of the peritoneovenous shunt.The American journal of gastroenterology, 78 4
M. Orloff (1970)
PATHOGENESIS AND SURGICAL TREATMENT OF INTRACTABLE ASCITES ASSOCIATED WITH ALCOHOLIC CIRRHOSIS *Annals of the New York Academy of Sciences, 170
A. Garceau, T. Chalmers (1963)
The Natural History of CirrhosisThe New England Journal of Medicine, 268
H. Barker, K. Reemtsma (1960)
The portacaval shunt operation in patients with cirrhosis and ascites.Surgery, 48
Hannoun L Huguet C (1981)
Place des dérivations portocaves dans le traitement chirurgical des ascites cirrhotiquesGastroenterol Clin Biol, 5
Grange D Favre B (1982)
L'encéphalopathie après dérivation portale: Valeurs diagnostique et prédictive de l'épreuve de sensibilisation électroencéphalographique au diazepanGastroenterol Clin Biol, 6
Fulenwider Jt, JD Galambos, Rd Smith, J. Henderson, W. Warren (1986)
LeVeen vs Denver peritoneovenous shunts for intractable ascites of cirrhosis. A randomized, prospective trial.Archives of surgery, 121 3
James Chandler, C. Meter, D. Kaiser, S. Mills (1985)
Factors Affecting Immediate and Long‐term Survival After Emergent and Elective Splanchnic‐Systemic ShuntsAnnals of Surgery, 201
R. Resnick, F. Iber, Albert Ishihara, T. Chalmers, H. Zimmerman (1974)
A controlled study of the therapeutic portacaval shunt.Gastroenterology, 67 5
Islam NRK Stone WD (1968)
The natural history of cirrhosisQ J Med, 145
J. Foster, L. Ellison, T. Donovan, A. Anderson (1971)
Quantity and quality of survival after portosystemic shunts.American journal of surgery, 121 4
A. Burchell, L. Rousselot, W. Panke (1968)
A Seven‐Year Experience with Side‐to‐Side Portacaval Shunt for Cirrhotic AscitesAnnals of Surgery, 168
J. Soterakis, R. Resnick, F. Iber (1973)
EFFECT OF ALCOHOL ABSTINENCE ON SURVIVAL IN CIRRHOTIC PORTAL HYPERTENSION: Report from the Boston Inter-Hospital Liver GroupThe Lancet, 302
Buhac I Capone RR (1978)
Resistant ascites in alcoholic liver cirrhosis: Course and prognosisDig Dis Sci, 23
S. Wapnick, S. Grosberg, M. Evans (1979)
Randomized prospective matched pair study comparing peritoneovenous shunt and conventional therapy in massive ascitesBritish Journal of Surgery, 66
H. Leveen, S. Wapnick, S. Grosberg, M. Kinney (1976)
Further Experience with Peritoneo‐venous Shunt for AscitesAnnals of Surgery, 184
R. Bell, P. Hyde, W. Skivolocki, J. Brimm, M. Orloff (1981)
Prospective study of portasystemic encephalopathy after emergency portacaval shunt for bleeding varices.American journal of surgery, 142 1
R. Lerner, John Nelson, Peter Corines, L. Guercio (1978)
Disseminated intravascular coagulation. Complication of LeVeen peritoneovenous shunts.JAMA, 240 19
D. Franco, C. Smadja (1985)
Prevention of recurrent variceal bleeding: surgical procedures.Clinics in gastroenterology, 14 1
R. Pugh, I. Murray-Lyon, J. Dawson, M. Pietroni, Roger Williams (1973)
Transection of the oesophagus for bleeding oesophageal varicesBritish Journal of Surgery, 60
C. Welch, E. Attarian, H. Welch (1958)
The treatment of ascites by side to side portacaval shunt.Bulletin of the New York Academy of Medicine, 34 4
Compean-Garcia D Bories P (1986)
The treatment of refractory ascites by the LeVeen shunt: A multi-center controlled trial (57 patients)J Hepatol, 3
W. McDermott (1958)
The treatment of cirrhotic ascites by combined hepatic and portal decompression.The New England journal of medicine, 259 19
Abstract • Fifty-seven cirrhotic patients with intractable ascites had a portosystemic shunt. In 35 patients, a peritoneovenous shunt had previously failed. Forty-six patients were in Pugh's class B and 11 were in class C. There were three operative deaths (5.3%). Fifty-three (98.2%) of the 54 survivors were cleared of ascites. In one patient, ascites persisted because of postshunt heart failure that resulted in a marked increase of caval pressure. Twenty-seven patients (50%) had late encephalopathy, which was severe and disabling in 12 (22%). One- and three-year survival rates were 72% and 36%, respectively. These results suggest that although portosystemic shunts are remarkably effective in dealing with ascites, the high rate of postoperative encephalopathy is a strong argument against their routine use in the management of intractable ascites in cirrhosis. (Arch Surg 1988;123:987-991) References 1. Prokesch RC, Rimland D: Infectious complications of the peritoneo-venous shunt . Am J Gastroenterol 1983;78:235-240. 2. Fulenwider JT, Smith RB III, Redd CS, et al: Peritoneovenous shunts: Lessons learned from an eight-year experience with 70 patients . Arch Surg 1984;119:1133-1137.Crossref 3. Harmon DC, Demirjian Z, Ellman L, et al: Disseminated intravascular coagulation with the peritoneovenous shunt . Ann Intern Med 1979;90:774-776.Crossref 4. Lerner RG, Nelson JC, Corines P, et al: Disseminated intravascular coagulation: Complication of LeVeen peritoneovenous shunts . JAMA 1978;240:2064-2066.Crossref 5. Fulenwider JT, Galambos JD, Smith RB III, et al: LeVeen vs Denver peritoneovenous shunts for intractable ascites of cirrhosis . Arch Surg 1986;121:351-355.Crossref 6. Smadja C, Tridard D, Franco D: Recurrent ascites due to central venous thrombosis after peritoneojugular (LeVeen) shunt . Surgery 1986;100:535-541. 7. Epstein M: Peritoneovenous shunt in the management of ascites and the hepatorenal syndrome . Gastroenterology 1982;82:790-799. 8. Barker HG, Reemtsma K: The portacaval shunt operation in patients with cirrhosis and ascites . Surgery 1960;48:142-154. 9. Welch HF, Welch CS, Carter JH: Prognosis after surgical treatment of ascites: Results of side-to-side shunt in 40 patients . Surgery 1964;56:75-82. 10. Burchell AR, Rousselot LM, Panke WF: A seven-year experience with side-to-side portacaval shunt for cirrhotic ascites . Ann Surg 1968;168:655-670.Crossref 11. Orloff MJ: Pathogenesis and surgical treatment of intractable ascites associated with alcoholic cirrhosis . Ann NY Acad Sci 1970;170:213-238.Crossref 12. Vons C, Smadja C, Bourstyn E, et al: Results of portal systemic shunts in Budd-Chiari syndrome . Ann Surg 1986;203:366-370.Crossref 13. Leveen HH, Wapnick S, Grosberg S, et al: Further experience with peritoneo-venous shunt for ascites . Ann Surg 1976;184:574-581.Crossref 14. Pugh RNH, Murray-Lyon IM, Dawson JL, et al: Transection of the esophagus for bleeding esophageal varices . Br J Surg 1973;60:646-649.Crossref 15. Huguet C, Hannoun L, Opolon P, et al: Place des dérivations portocaves dans le traitement chirurgical des ascites cirrhotiques . Gastroenterol Clin Biol 1981;5:324-331. 16. Bismuth H, Franco D, Hepp J: Portal-systemic shunt in hepatic cirrhosis: Does the type of shunt decisively influence the clinical result? Ann Surg 1974;179:209-218.Crossref 17. Smadja C, Franco D: The LeVeen shunt in the elective treatment of intractable ascites in cirrhosis: A prospective study on 140 patients . Ann Surg 1985;201:488-493.Crossref 18. McDermott WV Jr: The treatment of cirrhotic ascites by combined hepatic and portal decompression . N Engl J Med 1958;259:897-901.Crossref 19. Welch CS, Attarian E, Welch HF: The treatment of ascites by side-to-side portacaval shunt . Bull NY Acad Med 1958;34:249-255. 20. Reichle FA, Owen OE: Hemodynamic patterns in human hepatic cirrhosis: A prospective randomized study of the hemodynamic sequelae of distal splenorenal (Warren) and mesocaval shunts . Ann Surg 1979;190:523-534.Crossref 21. Monnin E, Ferriere M, Blanc P, et al: La myocardiopathie latente des alcooliques chroniques avec ou sans atteinte hépatique . Gastroenterol Clin Biol 1985;9:298-304. 22. Franco D, Smadja C: Prevention of recurrent variceal bleeding: Surgical procedures . Clin Gastroenterol 1985;14:233-257. 23. Favre B, Grange D, Franco D, et al: L'encéphalopathie après dérivation portale: Valeurs diagnostique et prédictive de l'épreuve de sensibilisation électroencéphalographique au diazepan . Gastroenterol Clin Biol 1982;6:526-530. 24. Bell RH, Hyde PVB, Skivolocki WP, et al: Prospective study of portasystemic encephalopathy after emergency portacaval shunt for bleeding varices . Am J Surg 1981;142:144-150.Crossref 25. Mutchnik MG, Lerner E, Conn HO: Portal-systemic encephalopathy and portacaval anastomosis: A prospective, controlled investigation . Gastroenterology 1974;66:1005-1019. 26. Stone WD, Islam NRK, Paton A: The natural history of cirrhosis . Q J Med 1968;145:119-132. 27. Capone RR, Buhac I, Kohberger RC, et al: Resistant ascites in alcoholic liver cirrhosis: Course and prognosis . Dig Dis Sci 1978;23:867-871.Crossref 28. Wapnick S, Grosberg SJ, Evans MI: Randomized prospective matched pair study comparing peritoneovenous shunt and conventional therapy in massive ascites . Br J Surg 1979;66:667-670.Crossref 29. Bories P, Compean-Garcia D, Michel H, et al: The treatment of refractory ascites by the LeVeen shunt: A multi-center controlled trial (57 patients) . J Hepatol 1986;3:212-218.Crossref 30. Resnick RH, Iber FL, Ishihara AM, et al: A controlled study of the therapeutic portacaval shunt . Gastroenterology 1974;67:843-857. 31. Foster JH, Ellison LH, Donovan TJ, et al: Quantity and quality of survival after portosystemic shunts . Am J Surg 1971;121:490-501.Crossref 32. Soterakis J, Resnick RH, Iber FL: Effect of alcohol abstinence on survival in cirrhotic portal hypertension: Report from the Boston Inter-Hospital Liver Group . Lancet 1973;2:65-67.Crossref 33. Pande NV, Resnick RH, Yee W, et al: Cirrhotic portal hypertension: Morbidity of continued alcoholism . Gastroenterology 1978;74:64-69. 34. Chandler JG, Van Meter CH, Kaiser DL, et al: Factors affecting immediate and long-term survival after emergent and elective splanchnic-systemic shunts . Ann Surg 1985;201:476-487.Crossref
Archives of Surgery – American Medical Association
Published: Aug 1, 1988
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