Survival and quality of life after warren shunt

ABSTRACT

55 non selected cirrhotic patients underwent selective shunts from January 1980 to January 1988. All cases were admitted to the hospital because of upper gastrointestinal haemorrhage, and all had radiological and endoscopic evidence of esophageal or gastric varices, or both. 45 patients were male and 10 case female, the mean age was 38 years. [range 20 to 60]. 31 cases were in class A and 18 were in class B and 6 cases in class C. No prophylactic Shunt was conducted. Ten seven patients underwent end to end selective warren shunt while 40 cases end to side and 5 cases modified warren procedure. The predicted overall survival for 5 years period is 59%. Overall death associated with shunt procedure 37% with end to end selective renosplenic shunt-35% end to side shunt 30% with modified warren. The predicted 5 year survival was 83.4% in class A which differ significantly from the predicted survival in 24 patients in classes B and C which was only 36%. No. differance in survival rates in bilharzial and non bilharzial cases