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  • Title: Prospective comparative clinical trial with distal splenorenal and mesocaval shunts.
    Author: Reichle FA, Fahmy WF, Golsorkhi M.
    Journal: Am J Surg; 1979 Jan; 137(1):13-21. PubMed ID: 310249.
    Abstract:
    In a randomized study, the rate of postshunt encephalopathy was significantly lower after distal splenorenal shunting than after mesocaval shunting. Either shunt can be performed electively with a low operative mortality. If initial hemorrhage cannot be controlled, mortality may be minimized by mesocaval shunting. Advanced cirrhosis is not a contraindication to elective or emergency portasystemic shunting.
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