{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:02:24Z","timestamp":1723161744899},"reference-count":0,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":1461,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1996,1]]},"abstract":"<jats:p>Systemic and splanchnic hemodynamics were studied before and six months after a portal systemic shunt\n(n=6) or a Sugiura procedure (n=9) in 15 patients with cirrhosis and a past history of variceal bleeding.\nHepatic blood flow was estimated by hepatic extraction and clearance of continuous indocyanine green\ninfusion. Azygos blood flow was measured with a continuous thermodilution catheter. After portocaval\nshunt, the cardiac index increased significantly from 4.0\u00b11.4 to 5.4\u00b10.8 l\/min m2 (p&lt;0.05), the hepatic venous pressure gradient and hepatic blood flow were significantly decreased from 21\u00b13 to 13\u00b15 mm Hg (p&lt;0.05) and from 1.20\u00b10.35 to 0.37\u00b10.16 l\/min (p&lt;0.05) respectively. The decrease in azygos blood flow was not significant (0.51\u00b10.31 vs 0.25\u00b10.33 l\/min; p=0.1). After Sugiura procedure, there was no significant change in cardiac index, hepatic venous pressure gradient, hepatic blood flow or azygos blood flow. This is the first study to show the long\u2010term maintenance of splanchnic and systemic hemodynamics\nin patients with cirrhosis after Sugiura procedure. The absence of long\u2010term hemodynamic alterations\ncould explain the absence of encephalopathy after this procedure.<\/jats:p>","DOI":"10.1155\/1996\/46476","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"209-213","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Long\u2010Term Hemodynamic Effects of Portocaval Shunt and Sugiura Procedure in Patients with Cirrhosis"],"prefix":"10.1155","volume":"9","author":[{"given":"Corinne","family":"Vons","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Hadengue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claude","family":"Smadja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Franco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Didier","family":"Lebrec","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1996,1]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1996\/046476.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1996\/46476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T01:13:16Z","timestamp":1723079596000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1996\/46476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,1]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1996,1]]}},"alternative-id":["10.1155\/1996\/46476"],"URL":"https:\/\/doi.org\/10.1155\/1996\/46476","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1996,1]]},"assertion":[{"value":"1994-06-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1996-01-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}