Authors: Sachiko Achiwa Shozo Hirota Yasukazu Kako Haruyuki Takaki Kaoru Kobayashi Koichiro Yamakado
Publish Date: 2017/03/01
Volume: 35, Issue: 4, Pages: 206-214
Abstract
A total of 451 patients with chronic liver disease underwent contrastenhanced computed tomography between October 2010 and April 2011 The prevalence of portosystemic shunts including SSRS and gastrorenal shunt and the frequency of hepatic encephalopathy were examined The course of the shunt and the point of confluence with the renal vein of the SSRS were analyzedSSRSs or gastrorenal shunts were found in 111 and 50 of the patients respectively Anatomical variations were classified into three types according to the point of confluence as follows type 1 = the SSRS joined the inferior phrenic vein n = 33 type 2 = the SSRS joined the gonadal vein n = 7 and type 3 = the SSRS joined the left renal vein n = 14 The course of the SSRS from the splenic hilum was classified as medial n = 46 posterior n = 2 or anterolateral n = 2All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards
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