{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:28:02Z","timestamp":1781022482730,"version":"3.54.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2007,6,7]],"date-time":"2007-06-07T00:00:00Z","timestamp":1181174400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Currently, portal hypertension is still big problem for the patients with serious liver diseases. Variceal bleeding is one of the most important complications of portal hypertension. In case of failure of endoscopic and combined medical treatments, surgical decompressive shunts are required. We emphasized an alternative splenorenal shunt procedure using adrenal vein as a conduit.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A 26-year-old male suffered from recurrent variceal bleeding was considered for surgical therapy. Although we planned to perform a distal splenorenal shunt procedure, it was observed to be difficult. Therefore left adrenal vein was used as a conduit between left renal vein and splenic vein after splenic artery was ligated. He did well and was discharged from the hospital on the postoperative day 6. In the follow up period for nine months, endoscopic and ultrasonographic examinations were normal.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>We concluded that, in case of failure to perform distal splenorenal shunt due to technical problems, alternative porto-systemic shunt procedure using the adrenal vein as a vascular conduit can be safely employed.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2482-7-7","type":"journal-article","created":{"date-parts":[[2007,6,8]],"date-time":"2007-06-08T06:13:33Z","timestamp":1181283213000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Porto-systemic shunt using adrenal vein as a conduit; an alternative procedure for spleno \u2013 renal shunt"],"prefix":"10.1186","volume":"7","author":[{"given":"Unal","family":"Aydin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinar","family":"Yazici","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Kilic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2007,6,7]]},"reference":[{"issue":"1","key":"89_CR1","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/BF01656275","volume":"9","author":"K Inokuchi","year":"1985","unstructured":"Inokuchi K: Present status of surgical treatment of esophageal varices in Japan: a nationwide survey of 3,588 patients. World J Surg. 1985, 9 (1): 171-10.1007\/BF01656275.","journal-title":"World J Surg"},{"issue":"1","key":"89_CR2","first-page":"38","volume":"83","author":"MA Hassab","year":"1998","unstructured":"Hassab MA: Gastro-esophageal decongestion and splenectomy GEDS (Hassab), in the management of bleeding varices. Review of literature. Int Surg. 1998, 83 (1): 38-41.","journal-title":"Int Surg"},{"issue":"3","key":"89_CR3","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s00423-003-0367-5","volume":"388","author":"M Wolff","year":"2003","unstructured":"Wolff M, Hirner A: Current state of portosystemic shunt surgery. Langenbecks Arch Surg. 2003, 388 (3): 141-149. 10.1007\/s00423-003-0367-5.","journal-title":"Langenbecks Arch Surg"},{"issue":"5","key":"89_CR4","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1097\/00000658-198605000-00002","volume":"203","author":"WD Warren","year":"1986","unstructured":"Warren WD, Henderson JM, Millikan WJ, Galambos JT, Brooks WS, Riepe SP: Distal splenorenal shunt versus endoscopic sclerotherapy for long-term management of variceal bleeding. Preliminary report of a prospective, randomized trial. Ann Surg. 1986, 203 (5): 454-62. 10.1097\/00000658-198605000-00002.","journal-title":"Ann Surg"},{"issue":"27","key":"89_CR5","first-page":"2033","volume":"46","author":"VM Kulkarni","year":"1999","unstructured":"Kulkarni VM, Nagral SS, Mathur SK: Use of adrenal vein conduit for splenorenal shunts: a case report. 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J Gastrointest Surg. 2005, 9 (7): 992-1005. 10.1016\/j.gassur.2004.09.028.","journal-title":"J Gastrointest Surg"},{"issue":"2","key":"89_CR11","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1016\/0022-3468(94)90309-3","volume":"29","author":"MJ Orloff","year":"1994","unstructured":"Orloff MJ, Orloff MS, Rambotti M: Treatment of bleeding esophagogastric varices due to extrahepatic portal hypertension: results of portal-systemic shunt during 35 years. J Pediatr Surg. 1994, 29 (2): 142-151. 10.1016\/0022-3468(94)90309-3.","journal-title":"J Pediatr Surg"},{"issue":"3","key":"89_CR12","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1007\/s002680020380","volume":"25","author":"J Rosch","year":"2001","unstructured":"Rosch J, Keller FS: Transjugular intrahepatic portosystemic shunt: present status, comparison with endoscopic therapy and shunt surgery, and future prospectives. World J Surg. 2001, 25 (3): 337-346. 10.1007\/s002680020380.","journal-title":"World J Surg"},{"issue":"1","key":"89_CR13","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/S0002-9610(05)80400-3","volume":"165","author":"LF Rikkers","year":"1993","unstructured":"Rikkers LF, Jin G, Burnett DA, Buchi KN, Cormier RA: Shunt surgery versus endoscopic treatment for variceal hemorrhage: Late results of randomized trial. 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