Survival after Portacaval Shunt: Who and how?

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Abstract
In a series of 74 portacaval‐shunted patients no statistically significant differences in long‐term survival or in incidence of postoperative encephalopathy have been observed between electively and emergency operated patients, between patients with slight and moderate impairment of liver function (groups A and B according to Child) or between patients with alcoholic and non‐alcoholic cirrhosis. Patients older than 60 years had a higher risk of postoperative encephalopathy and a borderline significantly lower survival rate six months after the operation. Among the patients with more than six months' survival, about 50% returned to work.