Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/96712
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dc.contributor.authorMatthews, T.en
dc.contributor.authorTrochsler, M.en
dc.contributor.authorBridgewater, F.en
dc.contributor.authorMaddern, G.en
dc.date.issued2014en
dc.identifier.citationBritish Journal of Surgery, 2014; 101(12):1509-1517en
dc.identifier.issn0007-1323en
dc.identifier.issn1365-2168en
dc.identifier.urihttp://hdl.handle.net/2440/96712-
dc.description.abstractBackground: Portal-systemic shunts (PSSs) are rarely seen in healthy individuals or patients with non-cirrhotic liver disease. They may play an important role in hepatic metabolism as well as in the spread of gastrointestinal metastatic tumours to specific organs. Small spontaneous PSSs may be more common than generally thought. However, epidemiological data are scarce and inconclusive. This systematic review examined the prevalence of reported PSSs and the associated detection methods. Methods: Literature up to 2011 was reviewed for adult patients with proven congenital or acquired PSSs. Only PSSs in normal livers were analysed for the methods of diagnosis. Eligible studies were identified by searching relevant databases, including PubMed, Embase, MEDLINE and the Cochrane Library. The selection of eligible articles was carried out using predefined inclusion criteria (adult, non-surgical PSS) and a set of search terms that were established before the articles were identified. Results: Eighty studies were included describing 112 patients with congenital or acquired PSSs. The majority were diagnosed incidentally using Doppler ultrasound imaging and CT. Conclusion: Congenital and acquired PSSs are rare. They are usually clinically asymptomatic and discovered incidentally by radiological techniques. They may be clinically relevant owing to drug, tumour cell, metabolic and pathogen shunting.en
dc.description.statementofresponsibilityT. J. Matthews, M. I. Trochsler, F. H. Bridgewater and G. J. Maddernen
dc.language.isoenen
dc.publisherWiley-Blackwellen
dc.rights© 2014 BJS Society Ltden
dc.subjectLiver; Portal Vein; Humans; Incidental Findings; Prevalence; Adolescent; Adult; Aged; Aged, 80 and over; Middle Aged; Female; Male; Vascular Malformations; Young Adulten
dc.titleSystematic review of congenital and acquired portal-systemic shunts in otherwise normal liversen
dc.typeJournal articleen
dc.identifier.rmid0030021109en
dc.identifier.doi10.1002/bjs.9619en
dc.identifier.pubid108139-
pubs.library.collectionMedicine publicationsen
pubs.library.teamDS10en
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidTrochsler, M. [0000-0001-6961-1430]en
dc.identifier.orcidBridgewater, F. [0000-0002-2883-7852]en
dc.identifier.orcidMaddern, G. [0000-0003-2064-181X]en
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