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Portasystemic Venous Shunt Surgery for Portal Hypertension

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An Internist’s Illustrated Guide to Gastrointestinal Surgery

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Portal hypertension, defined as sustained elevation of the portal pressure above 12 mmHg, can arise from a myriad of causes. In Western countries, the most common cause is alcoholic liver cirrhosis, whereas in Asia, and developing countries, it is postnecrotic cirrhosis (from viral hepatitis) and schistosomiasis. The adverse effects of chronic portal hypertension include the formation of esophageal, and extraesophageal varices, ascites, splenomegaly with hypersplenism, hepatorenal syndrome, and hepatic encephalopathy. Hemorrhage from gastroesophageal varices is the most lethal of these complications. Thus, its prevention and treatment has assumed paramount importance in the management of these patients.

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Authors
  1. David K. W. Chew MD
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  2. Michael S. Conte MD
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Editor information

Editors and Affiliations

  1. Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, CT, USA

    George Y. Wu MD, PhD (Professor of Medicine, Chief, Herman Lopata Chair in Hepatitis Research) & Khalid Aziz MBBS, MRCP (UK), MRCP (IRE), FACG (Assistant Professor of Medicine) (Professor of Medicine, Chief, Herman Lopata Chair in Hepatitis Research) &  (Assistant Professor of Medicine)

  2. Department of Surgery, University of Connecticut Health Center, Farmington, CT, USA

    Giles F. Whalen MD, FACS (Professor of Surgery) (Professor of Surgery)

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© 2003 Springer Science+Business Media New York

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Chew, D.K.W., Conte, M.S. (2003). Portasystemic Venous Shunt Surgery for Portal Hypertension. In: Wu, G.Y., Aziz, K., Whalen, G.F. (eds) An Internist’s Illustrated Guide to Gastrointestinal Surgery. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-389-7_24

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  • DOI: https://doi.org/10.1007/978-1-59259-389-7_24

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-311-4

  • Online ISBN: 978-1-59259-389-7

  • eBook Packages: Springer Book Archive

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