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Surgical Portacaval Shunt (Portacaval Anastomosis)

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Surgical portasystemic shunt between the portal vein and inferior vena cava.

Also Known As:

Portacaval Anastomosis; Portacaval Shunt, Surgical; Portacaval Shunt; Shunt, Surgical Portacaval; Anastomoses, Portacaval; Anastomosis, Portacaval; Fistula, Eck; Portacaval Anastomoses; Portacaval Shunts; Portacaval Shunts, Surgical; Shunt, Portacaval; Shunts, Portacaval; Shunts, Surgical Portacaval; Surgical Portacaval Shunts; Eck Fistula

Networked: 908 relevant articles (31 outcomes, 71 trials/studies)

Relationship Network

Therapy Context: Research Results

Operative Surgical Procedures: 8
- Surgical Anastomosis: 109
  - Surgical Portasystemic Shunt: 1895
    - Surgical Portacaval Shunt: 908
- Cardiovascular Surgical Procedures: 25
  - Vascular Surgical Procedures: 73
    - Vascular Grafting: 40
      - Surgical Portasystemic Shunt: 1895
        Surgical Portacaval Shunt: 908

Experts

1.	Felipo, Vicente: 19 articles (09/2015 - 11/2004)
2.	Orloff, Marshall J: 12 articles (06/2015 - 07/2009)
3.	Isenberg, Jon I: 11 articles (06/2015 - 07/2009)
4.	Rodrigo, Regina: 11 articles (11/2011 - 11/2004)
5.	Vaida, Florin: 10 articles (06/2015 - 07/2009)
6.	Hye, Robert J: 10 articles (06/2015 - 07/2009)
7.	Haynes, Kevin S: 10 articles (06/2015 - 07/2009)
8.	Wheeler, Henry O: 10 articles (06/2015 - 07/2009)
9.	Rapier, Roderick: 8 articles (11/2012 - 07/2009)
10.	Jinich-Brook, Horacio: 8 articles (11/2012 - 07/2009)

Related Diseases

1.	Hemorrhage 07/01/2007 - "The partial portacaval shunt is effective in preventing recurrent variceal bleeding. " 02/01/2004 - "Small-diameter H-graft portacaval shunts are also effective in preventing recurrent variceal bleeding." 07/01/2009 - "This is a report of a randomized trial that compared endoscopic sclerotherapy (EST) with emergency portacaval shunt (EPCS) in cirrhotic patients with acute variceal hemorrhage. " 04/01/1991 - "Eighty-two consecutive Child-Campbell class A and B cirrhotic patients were included in a prospective controlled trial to assess the efficacy and safety of portacaval anastomosis vs. endoscopic sclerotherapy as elective treatment of variceal hemorrhage. " 04/01/1987 - "Randomized trial of portacaval shunt, stapling transection and endoscopic sclerotherapy in uncontrolled variceal bleeding."
2.	Ascites 06/01/1982 - "Portacaval shunts were most effective in prevention of variceal rehemorrhage, and the side-to-side methods best prevented postoperative ascites, but encephalopathy rates were high. " 04/01/1987 - "The pathophysiology of the hepatic lesion suggests that construction of a side-to-side portacaval shunt should be beneficial in relieving the ascites and preventing further hepatic damage. " 06/01/1997 - "In the clinical study, side-to-side portacaval shunt reduced mean portal vein-inferior vena cava pressure gradient from 282 mm saline to 4 mm and permanently relieved all patients of ascites without subsequent requirement of diuretic therapy. " 08/01/2010 - "We successfully created a percutaneous transhepatic portacaval shunt under ultrasonography (US) guidance in a 46-year-old man with refractory ascites. " 04/01/2002 - "Patients with refractory ascites could be treated by paracentesis or percutaneous transjugular portacaval shunt (TIPS). "
3.	Portal Hypertension 12/28/2010 - "[Experimental study of protective effects of hepatotrophic factors on hepatic functions in rats with portal hypertension after portacaval shunt]." 03/01/2003 - "The feasibility and efficacy of portacaval shunt creation through the transhepatic and transjugular approach were evaluated in patients with portal hypertension whose hepatic venous anatomies were unsuitable for the standard shunt procedure. " 08/01/1976 - "Although SS showed a correlation with wedged hepatic vein pressure (r = +0.491), the scan abnormality was not directly due to portal hypertension because it remained unchanged when the latter was relieved by portacaval shunt. " 10/20/2006 - "This study was designed to investigate the effects of hepatotrophic factors through the portal vein on the liver in rats with portal hypertension after portacaval shunt. " 01/01/1987 - "The results of ultrasound imaging combined with Doppler studies of blood flow are presented in two patients with surgical portacaval shunts performed for portal hypertension. "
4.	Fibrosis (Cirrhosis) 01/01/1989 - "These studies suggest that the delay in clearance of administered particles in portacaval shunt and portacaval transposition rats is related to the portal diversion rather than to altered blood flow and thus the finding is of relevance in patients with cirrhosis who also have significant portacaval shunting." 06/01/1976 - "To study resectability and regeneration of cirrhotic liver, hemodynamic changes following partial hepatectomy were observed in dogs with presinusoidal block caused by ligation of the portal vein or with postsinusoidal block caused by ligation of the hepatic veins after portacaval anastomosis, since cirrhosis of the liver in man is mainly of postsinusoidal block occasionally accompanied by presinusoidal block. " 11/03/1967 - "[Long-term results of termino-lateral truncal portacaval anastomosis for cirrhosis (study of 100 patients operated between 1959 and 1964)]." 11/01/2012 - "This is a report of a long-term prospective randomized controlled trial (RCT) that compared TIPS with emergency portacaval shunt (EPCS) in patients with cirrhosis and acute BEV. " 02/01/2012 - "Seventy-seven patients with BCS were allocated to three groups: group I, 39 had hepatic vein occlusion alone, treated by side-to-side portacaval shunt (SSPCS); group II, 26 had inferior vena cava occlusion treated by mesoatrial shunt in eight and combined SSPCS and cavoatrial shunt (CAS) in 18; and group III, 12 had decompensated cirrhosis too late for portal decompression who were listed for liver transplantation (LT). "
5.	Hepatic Encephalopathy 03/15/2003 - "Portacaval shunts and transjugular intrahepatic portasystemic shunts (TIPS) are effective for prevention of rebleeding but carry a high risk of hepatic encephalopathy. " 04/01/1991 - "It is concluded that portacaval anastomosis is more effective than endoscopic sclerotherapy in preventing variceal rebleeding in spite of the greater incidence of hepatic encephalopathy. " 11/01/1988 - "The objective of this study was to assess the prognostic value of spontaneous portosystemic shunting and liver function for survival and spontaneous hepatic encephalopathy after end-to-side portacaval shunt in cirrhotic patients. " 06/01/1977 - "A sequential light and electron microscopic study of cerebral cortex was performed in a rat model of portal-systemic encephalopathy produced by creating a portacaval shunt and followed by ammoniate resin feedings. " 12/01/2014 - "Neuroinflammation plays a main role in neurological deficits in rats with minimal hepatic encephalopathy (MHE) due to portacaval shunt (PCS). "

Related Drugs and Biologics

1.	Neomycin
2.	Aldosterone
3.	Insulin (Novolin)
4.	Vasoconstrictor Agents
5.	Tacrolimus (Prograf)
6.	Interleukin-1 (Interleukin 1)
7.	Ammonia
8.	salicylhydroxamic acid (SHAM)
9.	Cholesterol
10.	ammonium acetate

Related Therapies and Procedures

1.	Ligation
2.	Sclerotherapy
3.	Transplants (Transplant)
4.	Surgical Portasystemic Shunt (Portosystemic Shunt)
5.	Splenectomy