An autopsy case of distal splenorenal shunt with splenopancreatic disconnection.

概要

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The main cause of loss of selectivity of distal splenorenal shunt (DSRS) is development of collaterals within and/or around the pancreas. A modification of DSRS-splenopancreatic disconnection-is suggested to be effective for preservation of selectivity. Portography was taken in a 55-year old man's autopsy of DSRS with splenopancreatic disconnection 3y8m before for evaluation of selectivity. Several fine collaterals from the proximal splenic vein to the distal side was shown, but portal malcirculation was not recognized. The modification of DSRS was effective for prevention of potal malcirculation. However, a collateral from the inferior mesenteric vein to the distal splenic vein was shown. It is impossible that the modification of DSRS separates the distal splenic vein from the portamesenteric system with portal hypertension.
社団法人日本肝臓学会の論文