Mesocaval shunt plus portaazygous disconnection for portal hypertensive variceal bleeding caused by cavernous transformation of the portal vein in adults

VernacularTitle:肠腔分流并选择性冠状血管缝扎术治疗成人门静脉海绵样变性引起的上消化道出血
Author: Jingzhong ZHANG ; Shengli ZHANG ; Gang CHEN
Publication Type:Journal Article
Keywords: Hypertension,portal; Portacaval shunt,surgical; Hemorrhage; Esophageal and gastric varices
From: Chinese Journal of General Surgery 2013;(5):357-359
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effect of mesocaval shunt and selective coronary vein ligation for portal hypertension caused by cavernous transformation of the portal vein in adults.Methods The clinical data of 26 adult patients with portal hypertensive variceal bleeding caused by cavernous transformation of the portal vein treated by mesocaval shunt plus splenic artery and coronary vein ligation were analyzed retrospectively from 2001 to 2011.Results There was no operative deaths,free portal vein pressure decreased postoperatively,differences were significant before and after shunt (34.4 ± 4.7) cm H2O vs.(24.8 ±2.7) cm H2O,t =12.30,P ＜0.01.Postoperative complications included slight hepatic encephalopathy in 1 case,stress ulcer bleeding in 1 case,which were cured by conservative treatment.23 cases were followed up from 6 months to 4.5 years,and there was no bleeding case.Conclusious Mesocaval shunt plus selective vascular ligation for portal hypertensive variceal bleeding caused by cavernous transformation of the portal vein in adults is safe and effective.