Long-term effect of combined portoazygous devuscularization and shunt for treatment of portal hypertension.
- VernacularTitle:断流和分流联合术治疗肝硬化门静脉高压症疗效观察
- Author:
Shuguang ZHANG
;
Changle RUAN
;
Zhenhai YU
;
Guangxing LI
;
Zhaoting LI
- Publication Type:Journal Article
- From:
Chinese Journal of Practical Surgery
2001;21(3):147-148
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the therapeutic effect of combined portoazygous devascularization and shunt on portal hypertension. MethodsThe data of 56 cases of portal hypertension treated with portoazygous devascularization and shunt from April 1987 to April 1999 was summarized. ResultsThere was no death in 54 patients receiving selective operation;of 2 cases receiving emergency operation, one died. Among 49 followed-up cases, there was one rebleeding,2 hepatic encephalopathy, and one died of liver failure 4 years after opeation. The mean portal pressure before and after operation was(3.42±0.46) kPa and (2.50±0.35) kPa, respectively. ConclusionCombined portoazygons devascularization and shunt not only decreases portal pressure but preserve hepatic blood flow to some extent.
