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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 21, 2015; 21(3): 997-1000
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.997
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.997
Preoperative trans-jugular porto-systemic shunt for oncological gastric surgery in a cirrhotic patient
Andrea Liverani, Luigi Solinas, Tatiana Di Cesare, Tiziano Neri, Francesco Cilurso, Francesco Favi, Department of General Surgery, Regina Apostolorum Hospital, 00100 Rome, Italy
Luca Velari, Giancarlo Bizzarri, Department of Radiology, Regina Apostolorum Hospital, 00100 Rome, Italy
Author contributions: Liverani A designed the research and had final approval of the version to be published; Solinas L and Di Cesare T performed the research; Velari L and Bizzarri G contributed new reagents or analytic tools; Neri T and Cilurso F made substantial contributions to the conception and design; Favi F analyzed the data; Liverani A, Solinas L and Di Cesare T wrote the paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Tatiana Di Cesare, MD, Department of General Surgery, Regina Apostolorum Hospital, Via San Francesco 50, 00040 Albano Laziale (RM), 00100 Rome, Italy. tatiana.dicesare@hotmail.it
Telephone: +39-6-932989 Fax: +39-6-9321138
Received: March 6, 2014
Peer-review started: March 7, 2014
First decision: April 28, 2014
Revised: May 13, 2014
Accepted: October 15, 2014
Article in press: October 15, 2014
Published online: January 21, 2015
Peer-review started: March 7, 2014
First decision: April 28, 2014
Revised: May 13, 2014
Accepted: October 15, 2014
Article in press: October 15, 2014
Published online: January 21, 2015
Core Tip
Core tip: We suggest a preoperative trans-jugular porto-systemic shunt in patients with portal hypertension and gastric cancer to perform a safer gastrectomy. This procedure decreases intraoperational blood loss and postoperative morbidity. Moreover, the normalization of portal vein pressure permits the performance of an oncological nodes dissection. Finally, this technique may reduce perioperative mortality.