HPB Surgery

HPB Surgery / 2010 / Article / Tab 1

Clinical Study

A Single-Institution Review of Portosystemic Shunts in Children: An Ongoing Discussion

Table 1

Ten patients were identified in the study. They are listed from 1 to 10 and referenced this way throughout the paper. DSRS: distal splenorenal shunt; PSRS: proximal splenorenal shunt; PCS: portocaval shunt; PV: portal vein; UTI: urinary tract infection. *MELD score 1 month post shunt. **MELD score 1 month and 13 years post shunt.

Patient no.AgePrimary diseaseShunt type MELD/PELD score pre- and postopPrimary reason for shuntComplications30-day mortalityGraft patencyFollowup years

EHPH group

117PV ThrombosisDSRSVariceal BleedingNoneNonePatent7.08 Alive

217PV ThrombosisPSRSVariceal BleedingNoneNoneThrombosed1.08 Alive

IHPH group

317Congenital Hepatic FibrosisDSRS66Variceal BleedingNoneNonePatent7.4 Alive

45Congenital Hepatic FibrosisSide-to-side PCS78Variceal BleedingUTI, central-line infectionNonePatent0.92 Alive

519Cystic FibrosisDSRS711Variceal BleedingNoneNonePatent0.5 Died

615Congenital Hepatic FibrosisPSRS2021Variceal BleedingBleeding Fundal Varices 10 days postopNegative reexplorationReceived liver transplant 13 months later post PSS1.08 Alive

718Hepatic Vein ThrombosisSide-to-side PCS1812*Liver DysfunctionNoneNoneShunt occluded at 3 months. Received liver txp 6 months later12.8 Died

818Hepatic Vein ThrombosisPCSH-graft1813**Liver DysfunctionNoneNonePatent13.16 Alive

915Congenital Hepatic FibrosisDSRS77HypersplenismNoneNonePatent6.5 Alive

1010Congenital Hepatic FibrosisSide-to-side PCS811HypersplenismNoneNonePatent1.92 Alive

Article of the Year Award: Outstanding research contributions of 2020, as selected by our Chief Editors. Read the winning articles.