{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:23:11Z","timestamp":1703463791092},"reference-count":11,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2005,6,30]],"date-time":"2005-06-30T00:00:00Z","timestamp":1120089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2005,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Idiopathic portal hypertension (IPH) requires invasive measures to prevent rupture and bleeding of esophagogastric varices. However, the long\u2010term results of shunt surgery for IPH have not been reported. In particular, the pros and cons of surgery that preserves the spleen and its long\u2010term hematologic effects have not been described.<\/jats:p><jats:p>The records of 15 patients who underwent distal splenorenal shunt with splenopancreatic and gastric disconnection (DSRS with SPGD) for IPH between 1983 and 1998 was reviewed retrospectively.<\/jats:p><jats:p>One patient died within 3 years of surgery, for a 3\u2010year survival rate of 93%; the 10\u2010year survival rate was 64%. Three patients (18%) suffered rebleeding from esophagogastric varices. The white blood cell and platelet counts were higher 3\u20135 years and 7\u201313 years postoperatively compared with preoperative values. Four of five patients who underwent postoperative computed tomography had a smaller spleen postoperatively.<\/jats:p><jats:p>DSRS with SPGD provides long\u2010term hemostasis for esophagogastric variceal bleeding in IPH and alleviates hypersplenism. DSRS with SPGD is an effective treatment for patients with IPH in whom long\u2010term survival is expected.<\/jats:p>","DOI":"10.1007\/s00268-005-7656-9","type":"journal-article","created":{"date-parts":[[2005,6,27]],"date-time":"2005-06-27T16:24:09Z","timestamp":1119889449000},"page":"1034-1036","source":"Crossref","is-referenced-by-count":5,"title":["Long\u2010term Efficacy of Distal Splenorenal Shunt with Splenopancreatic and Gastric Disconnection for Esophagogastric Varices in Patients with Idiopathic Portal Hypertension"],"prefix":"10.1002","volume":"29","author":[{"given":"Ryunosuke","family":"Hase","sequence":"first","affiliation":[{"name":"Surgical Oncology, Cancer Medicine, Division of Cancer Medicine Hokkaido University Graduate School of Medicine North 15, West 7 060\u20108638 Kita\u2010ku Sapporo, Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Hirano","sequence":"additional","affiliation":[{"name":"Surgical Oncology, Cancer Medicine, Division of Cancer Medicine Hokkaido University Graduate School of Medicine North 15, West 7 060\u20108638 Kita\u2010ku Sapporo, Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Kondo","sequence":"additional","affiliation":[{"name":"Surgical Oncology, Cancer Medicine, Division of Cancer Medicine Hokkaido University Graduate School of Medicine North 15, West 7 060\u20108638 Kita\u2010ku Sapporo, Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunichi","family":"Okushiba","sequence":"additional","affiliation":[{"name":"Surgical Oncology, Cancer Medicine, Division of Cancer Medicine Hokkaido University Graduate School of Medicine North 15, West 7 060\u20108638 Kita\u2010ku Sapporo, Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Morikawa","sequence":"additional","affiliation":[{"name":"Surgical Oncology, Cancer Medicine, Division of Cancer Medicine Hokkaido University Graduate School of Medicine North 15, West 7 060\u20108638 Kita\u2010ku Sapporo, Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Katoh","sequence":"additional","affiliation":[{"name":"Surgical Oncology, Cancer Medicine, Division of Cancer Medicine Hokkaido University Graduate School of Medicine North 15, West 7 060\u20108638 Kita\u2010ku Sapporo, Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,6,30]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80006-6"},{"key":"e_1_2_5_3_2","volume-title":"The general rules for study of portal hypertension","author":"The Japan Society for Portal Hypertension and Esophago\u2010Gastric Varices","year":"1996"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-66-1-41"},{"key":"e_1_2_5_5_2","first-page":"261","article-title":"Immunological features in patients with idiopathic portal hypertension","volume":"2","author":"Yamauchi K","year":"1991","journal-title":"Font. Mucosal Immunol."},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1078\/0344\u20100338\u201000155"},{"key":"e_1_2_5_7_2","volume-title":"A disease specified by the Japanese Ministry of Health and Welfare: A report of a questionnaire survey on the therapeutic results in idiopathic hypertension due to extrahepatic occlusion","author":"The Japan Society for Portal Hypertension and Esophagogastric Varice","year":"1983"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196709000-00011"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198406000-00007"},{"key":"e_1_2_5_10_2","first-page":"20","article-title":"Modified splenorenal shunt with splenopancreatic disconnection","volume":"106","author":"Katoh H","year":"1989","journal-title":"Surgery"},{"key":"e_1_2_5_11_2","first-page":"2995","article-title":"Long\u2010term effects of distal splenorenal shunt with splenopancreatic and gastric disconnection on hypersplenism due to liver cirrhosis","volume":"46","author":"Miura H","year":"1999","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(99)70101-7"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-005-7656-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-005-7656-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-005-7656-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T10:08:14Z","timestamp":1703412494000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-005-7656-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,6,30]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2005,8]]}},"alternative-id":["10.1007\/s00268-005-7656-9"],"URL":"https:\/\/doi.org\/10.1007\/s00268-005-7656-9","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,6,30]]}}}