Hemodynamic Changes after Distal Splenorenal Shunt Studied by Sequential Angiography

Abstract
Distal splenorenal shunts were made in 25 patients with cirrhosis of the liver and portal hypertension. Angiograms were obtained in 16 patients in 1 wk, 3 and 6 mo., and at 1 yr postoperatively. Portal vein flow had diminished in all patients compared with flow seen in preoperative angiograms. Hepatofugal flow developed in 6 patients during the follow-up period, and in 2 patients only 1 wk postoperatively. The shunt remained patent in all of the patients but one.

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