{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T14:15:45Z","timestamp":1761920145638},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,5,9]],"date-time":"2016-05-09T00:00:00Z","timestamp":1462752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,5,9]],"date-time":"2016-05-09T00:00:00Z","timestamp":1462752000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Portosystemic shunts (PSSs) modulate the portal hyperperfusion against small\u2010for\u2010size syndrome (SFSS) after split or living donor liver transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To find out the results and the limitations of PSSs against SFSS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>We searched PubMed and Cochrane databanks for systematic review and analyzed the indications, types, morbidities, and survivals of the PSSs at split or living donor liver transplantations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Total 66 patients were assessed in 16 studies. Main indications for PSS were graft recipient weight ratio (GRWRs) &lt;0.8 % and\/or portal vein pressure &gt;20\u00a0mmHg. Five different types of PSSs were described but hemi\u2010portocaval shunts were the most common one. The incidence of SFSS was 12 %. Overall 90\u2010day, 1\u2010, and 3\u2010year graft survivals were 80, 70, and 47 %, respectively. GRWR &lt;0.65 % was found as the only significant parameter on graft survival. The 90\u2010day, 1\u2010 and 3\u2010year graft survivals for GRWR &lt;0.65 and \u22650.65 % patients were 62.5, 42.8, and 30.0 and 95, 94, and 67 %, respectively (<jats:italic>p<\/jats:italic> = 0.03, <jats:italic>p<\/jats:italic> = 0.01, and <jats:italic>p<\/jats:italic> = 0.18).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PSSs can modulate the small graft size (GRWR &lt; 0.8 %) and\/or portal hypertension (&gt;20\u00a0mmHg) after split or living donor liver transplantations sufficiently. However, its protective effect is not unlimited. If the GRWR is below 0.65 %, survival decreases significantly despite PSSs.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3518-x","type":"journal-article","created":{"date-parts":[[2016,5,9]],"date-time":"2016-05-09T17:47:35Z","timestamp":1462816055000},"page":"1932-1940","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Portosystemic Shunts for \u201cToo Small\u2010for\u2010Size Syndrome\u201d After Liver Transplantation: A Systematic Review"],"prefix":"10.1002","volume":"40","author":[{"given":"Erdem","family":"Kinaci","sequence":"first","affiliation":[{"name":"Liver Transplantation Institute Inonu University 44315 Malatya Turkey"},{"name":"Department of General Surgery Istanbul Training and Research Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cuneyt","family":"Kayaalp","sequence":"additional","affiliation":[{"name":"Liver Transplantation Institute Inonu University 44315 Malatya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,9]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.23608"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2013.01.028"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(02)07593\u20101"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2004.08.027"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2004.00548.x"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.20164"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2005.00850.x"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21080"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2007.05.052"},{"key":"e_1_2_7_11_2","first-page":"670","article-title":"Living donor liver transplantation with extra\u2010small graft; inflow modulation using splenectomy and temporary portocaval shunt","volume":"55","author":"Ikegami T","year":"2008","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2007.02144.x"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2007.02045.x"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432\u20102277.2009.00928.x"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181fa93e0"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.22087"},{"key":"e_1_2_7_17_2","first-page":"2231","article-title":"Hemi\u2010portocaval shunt: a simple salvage maneuver for small\u2010for\u2010size graft during living donor liver transplantation: a case report","volume":"124","author":"Huang JW","year":"2011","journal-title":"Chin Med J (Engl)"},{"key":"e_1_2_7_18_2","first-page":"849619","article-title":"Combined kidney\u2010liver, heart\u2010liver, and kidney\u2010pancreas transplantations from a single deceased donor","volume":"2012","author":"Ravaioli M","year":"2012","journal-title":"Case Rep Transpl"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12162"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2005.01081.x"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007890\u2010199901270\u201000024"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2003.50114"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2006.01284.x"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21846"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000063707.90525.10"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007890\u2010200012270\u201000006"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i40.5011"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2003.50128"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2010.03150.x"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2004.45.6.1089"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2003.50081"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2007.00735.x"},{"key":"e_1_2_7_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21386"},{"key":"e_1_2_7_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.20317"},{"key":"e_1_2_7_35_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.22059"},{"key":"e_1_2_7_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432\u20102277.2005.00159.x"},{"key":"e_1_2_7_37_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102005\u2010925559"},{"key":"e_1_2_7_38_2","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2003.50198"},{"key":"e_1_2_7_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010007\u20101297\u20103"},{"key":"e_1_2_7_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1499\u20103872(14)60002\u20103"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-016-3518-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-016-3518-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-016-3518-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:48:23Z","timestamp":1703605703000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-016-3518-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,9]]},"references-count":39,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1007\/s00268-016-3518-x"],"URL":"https:\/\/doi.org\/10.1007\/s00268-016-3518-x","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,9]]}}}