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  • Title: Distal splenorenal shunts (Warren's operation) B-mode and real time ultrasonographic assessment.
    Author: Abdel Wahab MF, el-Kady N, Arafa NM, Salama Z, Kotib AK, Nasef A, Abdou M, Hamam S, el-Din Hussein K.
    Journal: Egypt J Bilharz; 1979; 6(1-2):21-4. PubMed ID: 263094.
    Abstract:
    B mode and real time ultrasonography have been used in a trial to demonstrate the patency of distal splenorenal shunt done in Warren's operation. Thirty seven patients with portal hypertension, and bleeding oesophageal varices were the subject of this study. Using B-mode ultrasonography in 70% of cases (26 patients), the splenic, left renal vein and the site of anastomosis were demonstrated. In 8% (3 patients), both splenic and left renal veins were seen patent, but the site of anastomosis was not detected. In the remaining 22% (8 patients), neither the left renal vein nor the site of anastomosis could be demonstrated. Using the Real-time two dimensional ultrasound, 9 of the 37 patients were examined. The patency of both veins and the site of the shunt was demonstrated in 90% (8 patients).
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