{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:21:46Z","timestamp":1760188906891},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":3287,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:p>Since its introduction into clinical practice in 1967, selective variceal decompression by means of a distal\nsplenorenal shunt (DSRS) has become one of the more commonly performed portal\u2010systemic shunting\nprocedures in the treatment of variceal hemorrhage throughout the world. In addition to selective\ndecompression of gastroesophageal varices, the DSRS provides the advantages of preservation of portal\nperfusion of the liver and maintenance of intestinal venous hypertension. Many large, uncontrolled\nseries and the majority of controlled randomized studies have demonstrated a lower incidence of\nencephalopathy after the DSRS than after nonselective shunt procedures. A secondary advantage of the\nDSRS is that the hepatic hilum is avoided, thus making subsequent liver transplantation a less\nformidable procedure. None of the studies have shown an advantage to this shunt with respect to longterm\nsurvival in patients with alcoholic cirrhosis. However, some of the large, uncontrolled series have\nshown that survival is significantly improved in patients with non\u2010alcoholic cirrhosis compared to\nnonselective shunt procedures in the same population. Controlled trials comparing the DSRS to\nendoscopic sclerotherapy have shown that chronic endoscopic variceal sclerosis is an appropriate initial\ntherapy for most patients as long as shunt surgery is readily available if sclerotherapy fails.<\/jats:p>","DOI":"10.1155\/1991\/19213","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"1-15","source":"Crossref","is-referenced-by-count":12,"title":["Selective Variceal Decompression: Current Status"],"prefix":"10.1155","volume":"5","author":[{"given":"Gongliang","family":"Jin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Layton F.","family":"Rikkers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1991,1]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1991\/019213.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1991\/19213","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:18:27Z","timestamp":1723069107000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1991\/19213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.1155\/1991\/19213"],"URL":"https:\/\/doi.org\/10.1155\/1991\/19213","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1991,1]]}}}