{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:06:21Z","timestamp":1761743181418},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"747","license":[{"start":{"date-parts":[[1988,1,1]],"date-time":"1988-01-01T00:00:00Z","timestamp":567993600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1988,1,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>A method is proposed to reduce portal hypertension utilizing subtotal splenectomy and a central splenorenal shunt. The advantages of this method are: diversion of the splenic component of the portal circulation, creation of a shunt for the portal blood into the systemic circulation, preservation of the splenic function and correction of the manifestations of the hypersplenism. Two cases are presented who remain well four years after surgery.<\/jats:p>","DOI":"10.1136\/pgmj.64.747.38","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"38-41","source":"Crossref","is-referenced-by-count":25,"title":["Treatment of portal hypertension by subtotal splenectomy and central splenorenal shunt"],"prefix":"10.1093","volume":"64","author":[{"given":"A","family":"Petroianu","sequence":"first","affiliation":[{"name":"Department of Surgery, Medical School, Federal University of Minas Gerais , Belo Horizonte, MG , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1988,1,1]]},"reference":[{"issue":"122","key":"ref_1","first-page":"449475","article-title":"The problem of portal hypertension in relation to the hepatopathies","volume":"1945","author":"Whipple, A.O.","unstructured":"Whipple, A.O. The problem of portal hypertension in relation to the hepatopathies. Ann Surg 1945, 122: 449475.","journal-title":"Ann Surg"},{"issue":"94","key":"ref_2","first-page":"443","article-title":"Portocaval shunting for portal hypertension","volume":"1952","author":"Blakemore, A.H.","unstructured":"Blakemore, A.H. Portocaval shunting for portal hypertension. Surg Gynecol Obstet 1952, 94: 443-454.","journal-title":"Surg Gynecol Obstet"},{"key":"ref_3","first-page":"2","article-title":"Operaqdo de escolha no tratamento da hipertensao portal","volume":"1963","author":"Resende Alves, J.B.","unstructured":"Resende Alves, J.B. Operaqdo de escolha no tratamento da hipertensao portal. J Brasil Cir 1963, 2: 1061-1067.","journal-title":"J Brasil Cir"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1002\/bjs.1800650213","article-title":"Interposition left gastriccaval shunt using internal jugular vein autograft in the treatment of portal hypertension","volume":"65","author":"Gonzalez, E.M.; M., San Martin J.; Abella, P.C.; Aguyo, J.L.R.; Jelavik, D.","year":"1978","unstructured":"Gonzalez, E.M., San Martin J.M., Abella, P.C., Aguyo, J.L.R. & Jelavik, D. Interposition left gastriccaval shunt using internal jugular vein autograft in the treatment of portal hypertension. Br J Surg 1978, 65: 115-117.","journal-title":"Br J Surg"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1001\/archsurg.1970.01340200045011","article-title":"New selective decompression of esophageal varices","volume":"100","author":"Inokuchi, K.; Kobayashi, M.; Kusaba, A.; Ogava, Y.; Saku, M.; Shuzaki, T.","year":"1970","unstructured":"Inokuchi, K., Kobayashi, M., Kusaba, A., Ogava, Y., Saku, M. & Shuzaki, T. New selective decompression of esophageal varices. Arch Surg 1970, 100: 157-162.","journal-title":"Arch Surg"},{"issue":"18","key":"ref_6","first-page":"81","article-title":"Selective variceal decompression","volume":"1984","author":"Henderson, J.M.; Warren, W.D.","unstructured":"Henderson, J.M. & Warren, W.D. Selective variceal decompression. Adv Surg 1984, 18: 81-115.","journal-title":"Adv Surg"},{"issue":"28","key":"ref_7","first-page":"38","article-title":"Elective mesocaval interposition shunt","volume":"1986","author":"Read, R.C.","unstructured":"Read, R.C. Elective mesocaval interposition shunt. Contemp Surg 1986, 28: 38-47.","journal-title":"Contemp Surg"},{"key":"ref_8","first-page":"92","article-title":"The place of Sugiura operation for portal hypertension and bleeding esophageal varices","volume":"101","author":"Abouna, G.M.; Baissony, H.; Menkarios, A.T.","year":"1987","unstructured":"Abouna, G.M., Baissony, H. & Menkarios, A.T. The place of Sugiura operation for portal hypertension and bleeding esophageal varices. Surgery 1987, 101: 92-98.","journal-title":"Surgery"},{"key":"ref_9","first-page":"107","article-title":"Drug therapy of portal hypertension","volume":"82","author":"Groszman, R.J.","year":"1987","unstructured":"Groszman, R.J. Drug therapy of portal hypertension. Am J Gastroenterol 1987, 82: 107-113.","journal-title":"Am J Gastroenterol"},{"issue":"5","key":"ref_10","first-page":"584","article-title":"A prospective randomized controlled trial of chronic esophageal variceal sclerotherapy","volume":"1985","author":"Korula, J.; Balart, L.A.; Radvan, G.; Zweiban, B.E.; Larson, A.W.; Kao, H.W.; Yamada, S.A.","unstructured":"Korula, J., Balart, L.A., Radvan, G., Zweiban, B.E., Larson, A.W., Kao, H.W. & Yamada, S.A. A prospective randomized controlled trial of chronic esophageal variceal sclerotherapy. Hepatology 1985, 5: 584-589.","journal-title":"Hepatology"},{"issue":"80","key":"ref_11","first-page":"595","article-title":"Course and complications of endoscopic variceal sclerotherapy","volume":"1985","author":"Sarles, H.E.; Sanowski, R.A.; Talbert, G.","unstructured":"Sarles, H.E., Sanowski, R.A. & Talbert, G. Course and complications of endoscopic variceal sclerotherapy. Am J Gastroenterol 1985, 80: 595-599.","journal-title":"Am J Gastroenterol"},{"issue":"203","key":"ref_12","first-page":"454","article-title":"Distal splenorenal shunt versus endoscopic sclerotherapy for long-term management of variceal bleeding","volume":"1986","author":"Warren, W.D.; Galambos, J.; Riepe, S.P.","unstructured":"Warren, W.D., Galambos, J., Riepe, S.P. et al. Distal splenorenal shunt versus endoscopic sclerotherapy for long-term management of variceal bleeding. Ann Surg 1986, 203: 454-462.","journal-title":"Ann Surg"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJM198701013160103","article-title":"Endoscopic sclerotherapy versus portacaval shunt in patients with severe cirrhosis and acute variceal hemorrhage","volume":"316","author":"Cello, J.P.; Grendell, J.H.; Crass, R.A.; Weber, T.E.; Trunkey, D.D.","year":"1987","unstructured":"Cello, J.P., Grendell, J.H., Crass, R.A., Weber, T.E. & Trunkey, D.D. Endoscopic sclerotherapy versus portacaval shunt in patients with severe cirrhosis and acute variceal hemorrhage. N Engi J Med 1987, 316: 11-15.","journal-title":"N Engi J Med"},{"key":"ref_14","first-page":"2","article-title":"Terapeutica cir'urgica de eleicdo na hipertensao porta","volume":"1963","author":"Galvao, L.","unstructured":"Galvao, L. Terapeutica cir'urgica de eleicdo na hipertensao porta. J Brasil Cir 1963, 2: 985-997.","journal-title":"J Brasil Cir"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0168-8278(87)80075-2","article-title":"Randomized trial of portocaval shunt, stapling transection and endoscopic sclerotherapy in uncontrolled variceal bleeding","volume":"4","author":"Teres, J.; Baroni, R.; Bordas, J.M.; Visa, J.Pera; C.; Rodes, J.","year":"1987","unstructured":"Teres, J., Baroni, R., Bordas, J.M., Visa, J. Pera, C. & Rodes, J. Randomized trial of portocaval shunt, stapling transection and endoscopic sclerotherapy in uncontrolled variceal bleeding. J Hepatol 1987, 4: 159-167.","journal-title":"J Hepatol"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1111\/j.1445-2197.1986.tb02324.x","article-title":"The longterm effect of distal lienorenal shunt surgery on portal venous pressure","volume":"56","author":"Gibson, P.R.; McInnes, I.E.; Dudley, J.","year":"1986","unstructured":"Gibson, P.R., McInnes, I.E. & Dudley, J. The longterm effect of distal lienorenal shunt surgery on portal venous pressure. Aust N Z J Surg 1986, 56: 773-776.","journal-title":"Aust N Z J Surg"},{"key":"ref_17","first-page":"101","article-title":"Esplenectomia parcial e anastomose esplenorrenal para o tratamento da hipertensao portal","volume":"73","author":"Petroianu, A.","year":"1983","unstructured":"Petroianu, A. Esplenectomia parcial e anastomose esplenorrenal para o tratamento da hipertensao portal. Rev Brasil Cir 1983, 73: 101-104.","journal-title":"Rev Brasil Cir"},{"issue":"56","key":"ref_18","first-page":"645","article-title":"Esplenectomias parciais regradas","volume":"1959","author":"Christo, M.C.","unstructured":"Christo, M.C. Esplenectomias parciais regradas. Hospital 1959, 56: 645-650.","journal-title":"Hospital"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1002\/bjs.1800660925","article-title":"Preservation of the injured spleen","volume":"66","author":"Slim, M.S.; Najjar, N.E.; Mishalany, H.G.","year":"1979","unstructured":"Slim, M.S., Najjar, N.E. & Mishalany, H.G. Preservation of the injured spleen. Br J Surg 1979, 66: 671-672.","journal-title":"Br J Surg"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/00000658-198702000-00009","article-title":"Ultrasonic doppler duplex study of hemodynamic changes from portosystemic shunt operation","volume":"205","author":"Moriyasu, F.; Tamada, T.; Miyake, T.; Nakamura, T.; Uchino, H.","year":"1987","unstructured":"Moriyasu, F., Tamada, T., Miyake, T., Nakamura, T. & Uchino, H. Ultrasonic doppler duplex study of hemodynamic changes from portosystemic shunt operation. Ann Surg 1987, 205: 151-156.","journal-title":"Ann Surg"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1148\/132.1.215","article-title":"A simple method of spleen imaging with Tc99m-labeled erythrocytes","volume":"132","author":"Armas, R.; Thakur, M.L.; Gottschalk, A.","year":"1979","unstructured":"Armas, R., Thakur, M.L. & Gottschalk, A. A simple method of spleen imaging with Tc99m-labeled erythrocytes. Radiology 1979, 132: 215-216.","journal-title":"Radiology"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/64\/747\/38\/50078324\/postgradmedj-64-38.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/64\/747\/38\/50078324\/postgradmedj-64-38.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T14:07:44Z","timestamp":1683209264000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/64\/747\/38\/7047856"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,1,1]]},"references-count":21,"journal-issue":{"issue":"747","published-online":{"date-parts":[[1988,1,1]]},"published-print":{"date-parts":[[1988,1,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.64.747.38","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1988,1]]},"published":{"date-parts":[[1988,1,1]]}}}