2022
Endovascular Assessment of Liver Hemodynamics in Patients with Cirrhosis Complicated by Portal Hypertension
Ferral H, Schepis F, Gaba R, Garcia-Tsao G, Zanetto A, Perez-Campuzano V, Haskal Z, Garcia-Pagan J. Endovascular Assessment of Liver Hemodynamics in Patients with Cirrhosis Complicated by Portal Hypertension. Journal Of Vascular And Interventional Radiology 2022, 34: 327-336. PMID: 36516940, DOI: 10.1016/j.jvir.2022.12.014.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsHepatic venous pressure gradientPortal hypertensionPortosystemic pressure gradientTransjugular intrahepatic portosystemic shuntVenous pressure gradientIntrahepatic portosystemic shuntSurgical patientsRisk stratificationHemodynamic measurementsPortosystemic shuntLiver hemodynamicsTreatment optionsShunt diameterMeticulous techniquePatientsClinical practiceGold standardHypertensionManagement optionsPressure gradientCirrhosisComplicatedHemodynamicsOptionsShunt
1992
Elective treatment of bleeding varices with the Sugiura operation over 10 years
Orozco H, Mercado M, Takahashi T, Hernández-Ortiz J, Capellán^S J, Garcia-Tsao G. Elective treatment of bleeding varices with the Sugiura operation over 10 years. The American Journal Of Surgery 1992, 163: 585-589. PMID: 1595838, DOI: 10.1016/0002-9610(92)90562-6.Peer-Reviewed Original ResearchConceptsSugiura operationOperative mortality rateEarly postoperative periodDevascularization operationEncephalopathy ratesLow rebleedingPortal hypertensionPostoperative periodElective treatmentTherapeutic armamentariumOperative procedureEsophageal fistulaMortality ratePatientsRebleedingHypertensionVaricesFistulaTransectionGroupHepatopathyArmamentariumShunt
1990
Role of the distal splenorenal shunt in management of variceal bleeding in Latin America
Orozco H, Mercado M, Takahashi T, García-Tsao G, Guevara L, Ortíz J, Hernández-Cendejas A, Tielve M. Role of the distal splenorenal shunt in management of variceal bleeding in Latin America. The American Journal Of Surgery 1990, 160: 86-89. PMID: 2368881, DOI: 10.1016/s0002-9610(05)80874-8.Peer-Reviewed Original ResearchConceptsSelective shuntWarren shuntPortal hypertensionSplenorenal shuntDistal splenorenal shuntNormal liver functionTreatment of choiceSplenocaval shuntOperative mortalityVariceal bleedingShunt thrombosisVenous diameterLiver functionShuntChild classHypertensionThrombosisPatientsTreatmentYearsRegular basisLatin American countriesBleedingSchistosomiasisMortalitySelective portal-systemic shunts for bleeding portal hypertension.
Orozco H, Mercado M, Takahashi T, García-Tsao G, Guevara L, Hernandez-Ortiz J, Tielve M. Selective portal-systemic shunts for bleeding portal hypertension. Revista De Investigación Clínica 1990, 42 Suppl: 165-9. PMID: 19256158.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHumansHypersplenismHypertension, PortalKaplan-Meier EstimateLiver CirrhosisMaleMiddle AgedPatient SelectionPortal VeinPortasystemic Shunt, SurgicalPostoperative ComplicationsRecurrenceRetrospective StudiesSeverity of Illness IndexThrombosisYoung AdultConceptsSelective shuntPortal hypertensionOperative mortalityChild A groupChild A patientsGlobal operative mortalityPortal-systemic shuntsGood liver functionTreatment of choiceElective fashionSplenocaval shuntWarren shuntPostoperative periodA patientsShunt thrombosisLiver functionHypertensionShuntPatientsA groupThrombosisMortalityYear periodTreatmentYears
1988
Distal splenorenal vs. portal‐systemic shunts after hemorrhage from varices: A randomized controlled trial
Grace N, Conn H, Resnick R, Groszmann R, Atterbury C, Wright S, Gusberg R, Vollman R, Garcia‐Tsao G, Fisher R, O'Hara E, McDermott W, Maselli J, Widrich W, Matloff D, Horst D, Banks N, Alberts J. Distal splenorenal vs. portal‐systemic shunts after hemorrhage from varices: A randomized controlled trial. Hepatology 1988, 8: 1475-1481. PMID: 3056820, DOI: 10.1002/hep.1840080602.Peer-Reviewed Original ResearchConceptsDistal splenorenal shunt groupPortal-systemic shuntsDistal splenorenal shuntShunt groupSplenorenal shuntVariceal hemorrhageMajor variceal hemorrhageReasonable operative riskRecurrent variceal hemorrhageGroup of patientsPortal venous flowShunt patientsAngiographic evidenceLate mortalityOperative mortalityCirrhotic patientsLiver groupOperative riskRenal veinInferior venaAngiographic demonstrationVenous flowPatientsTotal mortalityShunt