{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:12:04Z","timestamp":1761844324679,"version":"3.40.4"},"reference-count":17,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestion"],"published-print":{"date-parts":[[2014]]},"abstract":"<b><i>Objectives:<\/i><\/b> The purpose of this study was to investigate the relationships between the splenorenal shunt (SRS)\/portal vein (PV) diameter ratio (SRS\/PV ratio) and systemic hemodynamics in patients with liver cirrhosis. <b><i>Patients and Methods:<\/i><\/b> Thirty-seven patients with SRS due to liver cirrhosis were included in this study. SRS was evaluated in the retropancreatic space on contrast-enhanced CT and the diameter was measured at the maximum point. Systemic hemodynamics was studied using a thermodilution catheter. <b><i>Results:<\/i><\/b> The SRS\/PV ratio showed a significant correlation with the cardiac index (p < 0.01), and showed an inverse correlation with the systemic vascular resistance index and the arteriovenous oxygen content difference [C(a-v)<smlcap>O<\/smlcap><sub>2<\/sub>] (p < 0.01). The Child-Pugh score showed a correlation with the SRS\/PV ratio (p < 0.01). The SRS\/PV ratio was 0.89 \u00b1 0.52, 1.02 \u00b1 0.51, and 1.74 \u00b1 0.50 in the Child-Pugh A, B, and C classes, respectively. The SRS\/PV ratio in the Child-Pugh C class was significantly higher than those in classes A and B (p < 0.01). The plasma ammonia level was 75.3 \u00b1 23.2 in the group with an SRS\/PV ratio <1.0 (n = 19) versus 102.6 \u00b1 34.8 in the group with an SRS\/PV ratio \u22651.0 (n = 18), and the ratio of encephalopathy was 5% (1\/19) in the group with an SRS\/PV ratio <1.0 (n = 19) versus 50% (9\/18) in the group with an SRS\/PV ratio \u22651.0 (n = 18), respectively. The differences between the two groups were statistically significant (p < 0.01). <b><i>Conclusions:<\/i><\/b> We conclude that the increase in the SRS\/PV ratio is accompanied by deteriorated liver function, hyperdynamic status, and narrowed C(a-v)<smlcap>O<\/smlcap><sub>2<\/sub>.<\/jats:p>","DOI":"10.1159\/000357494","type":"journal-article","created":{"date-parts":[[2014,2,11]],"date-time":"2014-02-11T07:27:10Z","timestamp":1392103630000},"page":"133-138","source":"Crossref","is-referenced-by-count":7,"title":["Relationships between Splenorenal Shunt\/Portal Vein Diameter Ratio and Systemic Hemodynamics in Patients with Liver Cirrhosis"],"prefix":"10.1159","volume":"89","author":[{"given":"Fumio","family":"Chikamori","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobutoshi","family":"Kuniyoshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2014,2,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1080\/14017430802691528"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02471521"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1159\/000050126"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s002610000046"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2009.00929.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1916.00080130010002"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine1962.30.318"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3109\/00365529108996245"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s002619900068"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.3356"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1155\/1996\/46476"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002\/hep.1840190121"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.1996.tb00332.x"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.1994.tb01235.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0451-2"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1159\/000018874"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e318275745a"}],"container-title":["Digestion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/357494","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/357494","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/357494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:28:39Z","timestamp":1745432919000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000357494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2014,3,1]]},"published-print":{"date-parts":[[2014,3,12]]}},"URL":"https:\/\/doi.org\/10.1159\/000357494","archive":["Portico"],"relation":{},"ISSN":["0012-2823","1421-9867"],"issn-type":[{"type":"print","value":"0012-2823"},{"type":"electronic","value":"1421-9867"}],"subject":[],"published":{"date-parts":[[2014]]}}}