{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:56:09Z","timestamp":1759179369973},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2007,4,14]],"date-time":"2007-04-14T00:00:00Z","timestamp":1176508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2007,4,14]],"date-time":"2007-04-14T00:00:00Z","timestamp":1176508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2007,4,14]],"date-time":"2007-04-14T00:00:00Z","timestamp":1176508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Use of the inferior mesenteric vein (IMV) for partial portal decompression has not been recommended as a first\u2010line option for intractable gastroesophageal variceal bleeding because of the thin diameter of the vein. Although these indications remain relevant, few reports have compared partial portal decompression using the IMV with other therapies. We propose that partial portal decompression using the IMV is a useful alternative treatment for intractable variceal bleeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed partial portal decompression using the IMV in eight patients with intractable variceal bleeding that had been uncontrolled using medical and endoscopic therapies. All patients were classified into Child\u2019s class B or C. The surgical data, morbidity, and mortality were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean portal venous pressure significantly decreased from 26.9 \u00b1 2.0\u00a0mmHg before the surgery to 19.8 \u00b1 3.9\u00a0mmHg after the surgery. The operative mortality rate was 0%. The mean duration of hospital stay was 25.5 \u00b1 13.3\u00a0days. Although one patient experienced recurrent bleeding, shunt patency was well maintained in all patients during the follow\u2010up period (mean 28.9 \u00b1 14.1\u00a0months). Six patients are still alive and well without ascites or hepatic encephalopathy. Two of the Child\u2019s class C patients who underwent emergency shunt died owing to hepatic decompensation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Partial portal decompression using the IMV can be a safe, effective way to treat intractable variceal bleeding in patients with liver cirrhosis. However, use of the shunt procedure may have the most survival benefits for cirrhotic patients with preserved liver function.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9005-7","type":"journal-article","created":{"date-parts":[[2007,4,18]],"date-time":"2007-04-18T12:49:16Z","timestamp":1176900556000},"page":"1266-1271","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Beneficial Effect of Partial Portal Decompression Using the Inferior Mesenteric Vein for Intractable Gastroesophageal Variceal Bleeding in Patients With Liver Cirrhosis"],"prefix":"10.1002","volume":"31","author":[{"given":"Satoshi","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Division of Digestive and General Surgery Niigata University Graduate School of Medical and Dental Sciences Asahimachi\u2010dori 1\u2010757 951\u20108510 Niigata 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