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KMID : 0371319680100090683
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Journal of the Korean Surgical Society
1968 Volume.10 No. 9 p.683 ~ p.687
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Transumbilical Portal Decompression
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尹健鎬/Youn, Kun Ho
李東植/張敬植/吳相由/李在運/Lee, Dong Shik/Chang, Kyung Shik/Oh, Sang Yoo/Lee, Gae Un
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Abstract
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Two cases of liver cirrhosis of childs group "C" were presented, both of whose chief complaints were massive bleeding esophageal varices. Permanent portal systemic shunt were constructed by anastomosing the reopened umbilical vein to the saphenous vein (umbilicosaphenous shunt.) The portal pressures were measured by way of the umbilical vein and umbilical portography were also taken.
In both cases, decompression of the hypertensive pressure of the portal system was achieved with cessation of esophageal bleeding. The patency of the shunt was proved by venogram in 1 case. Further clinical experience will be necessary to determine the place of this procedure in the shunt surgery.
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