Portal-Systemic Shunting in Patients with Non-Alcoholic Liver Disease

J. Toouli, I. S. Benjamin, L. H. Blumgart

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Portal systemic shunting for the treatment of bleeding oesophageal varices in non‐alcoholic patients is thought to have a better outcome than in patients with alcoholic portal hypertension. In a retrospective study of twenty‐five non‐alcoholic patients who had undergone portal systemic shunting for the treatment of bleeding oesophageal varices, the perioperative and long term mortality was found to be unacceptably high. Therefore, an analysis was made to define the factors which may have contributed to the high mortality. It was found that the presence of one or more of the following factors contributed to the patient's demise: presence of active liver disease at the time of surgery, previous abdominal surgery, and the performance of shunting as an emergency in order to stop bleeding. It is concluded that in patients having one or more of these risk factors, currently available non‐operative means of treating bleeding oesophageal varices should be considered.

Original languageEnglish
Pages (from-to)19-23
Number of pages5
JournalAustralian and New Zealand Journal of Surgery
Issue number1
Publication statusPublished - Feb 1983
Externally publishedYes


  • non‐alcoholic
  • oesophageal varices
  • portal‐systemic shunting


Dive into the research topics of 'Portal-Systemic Shunting in Patients with Non-Alcoholic Liver Disease'. Together they form a unique fingerprint.

Cite this