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MESO-CAVAL AUTOGENOUS VEIN GRAFT SHUNTS
Abstract:The authors review 14 cases, of superior me- senteric vein-inferior vena caval autogenous graft shunting operations for portal hypertension with bleeding esophageal varices due exclu- sively to late schistosomiasis with splenectomy performed 6-13 years previously. Of the 14, emergency operations were performed in 4 with esophageal tamponade, 101 had elective opera- tions performed l-2 weeks after arrest of bleed- ings. There are no operative deaths. Follow- ups of 14 months t0 5 years and 2 months show 12 cases satisfactory with Z developing rebleed- ing with l death. Operative technic and points for special attention discussed.
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