Treatment of portal hypertension by use of limited shunt together with devascularization
- VernacularTitle:限制性分流与断流联合术治疗门静脉高压症
- Author:
Zhongyu KONG
- Publication Type:Journal Article
- Keywords:
Hypertension,Portal/surg;
Hypertension,Portal/ther
- From:
Chinese Journal of General Surgery
1993;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of combination of limited shunt and devascularization in the treatment of patients with portal hypertension.Methods The follow-up results of 39 portal hypertension(patients) undergoing the combined operation were retrospectively analysed.Results The postoperative free(portal) pressure decreased by 8cm H_2O,and hepatopetal portal venous blood flow was maintained.All the(patients) were followed-up for 6 to 24 months,the results showed that various degreas of recovery of liver function in 18 patients.One patient had transient hepatic encephalopathy.Ascites disappeared in 38 patients and gastroesophageal varices improved in 82.1% of patients.No case of rebleeding occured.Conclusions Limited shunt combined with devascularization can effectively maintain the blood supply to the liver,prevent upper gastroesophageal hemorrhage and reduce the occurrence rate of hepatic encephalopathy.It is a suitable operative method for the treatment of portal hypertensive patients.
