{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T16:20:53Z","timestamp":1758126053573,"version":"3.37.3"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1984,10,1]],"date-time":"1984-10-01T00:00:00Z","timestamp":465436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100007197","name":"United States Public Health Service","doi-asserted-by":"publisher","award":["AM 15736"],"award-info":[{"award-number":["AM 15736"]}],"id":[{"id":"10.13039\/100007197","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1984,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Thirty-two patients with congenital portal vein thrombosis have been managed for bleeding gastro-oesophageal varices. Fifteen had splenectomy and\/or other therapy before referral: nine were managed by endoscopie sclerosis, four by devascularization and two by total shunt; six rebled. Seventeen had their spleen \u201cin situ\u201d at referral and were evaluated for selective shunt: thirteen had distal splenorenal shunts (DSRS)\u2014one transiently rebled despite a patent shunt and one had shunt thrombosis; four had no veins suitable for shunt, and were managed by splenectomy and devascularization, with two rebleeds. Detailed study of seven patients before, and 1 year after DSRS, showed a rise in platelet count, maintenance of hepatocyte function, portal perfusion, liver blood flow and liver size. The spleen showed a significant (P &amp;lt; 0.025) reduction in size with trans-splenic decompression. We conclude that DSRS provides an excellent method for long-term control of bleeding in such patients, without alteration of liver function or haemodynamics. Patients managed by splenectomy and direct ablative procedures have a significantly (P &amp;lt; 0.05) greater risk of rebleeding than patients receiving DSRS.<\/jats:p>","DOI":"10.1002\/bjs.1800711003","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T00:09:56Z","timestamp":1172880596000},"page":"745-749","source":"Crossref","is-referenced-by-count":16,"title":["Selective variceal decompression in portal vein thrombosis"],"prefix":"10.1093","volume":"71","author":[{"given":"J M","family":"Henderson","sequence":"first","affiliation":[{"name":"Departments of Surgery and Medicine, Emory University School of Medicine , Atlanta, Georgia,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W J","family":"Millikan","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Medicine, Emory University School of Medicine , Atlanta, Georgia,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J T","family":"Galambos","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Medicine, Emory University School of Medicine , Atlanta, Georgia,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W D","family":"Warren","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Medicine, Emory University School of Medicine , Atlanta, Georgia,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1984,10,1]]},"reference":[{"key":"2024092715194713700_bib1","first-page":"156","volume-title":"Diseases of the Liver and Biliary System","author":"Sherlock","year":"1981","edition":"6th"},{"key":"2024092715194713700_bib2","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/BF01995065","article-title":"Die ecksche Fistel zwischen der unteren Hohlvene und der Pfortaden und folgen f\u00fcr den Organismus","volume":"32","author":"Hahn","year":"1893","journal-title":"Arch Exp Pathol Pharmakol"},{"key":"2024092715194713700_bib3","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1097\/00000658-198009000-00009","article-title":"Noncirrhotic portal vein thrombosis. 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