Long-term result of combined splenorenal shunt plus portaazygous devascularization in the treatment of bleeding esophageal varices in patients of portal hypertension
- VernacularTitle:脾肾分流加断流联合术治疗食管曲张静脉破裂出血的疗效观察
- Author:
Deming GAO
;
Jinsheng WU
;
Zesheng HE
;
- Publication Type:Journal Article
- Keywords:
Hypertension,portal;
Surgery,operative;
Splenorenal shunt
- From:
Chinese Journal of General Surgery
1993;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effect of combined splenorenal shunt and portaazygous devascularization on bleeding esophageal varices.Methods We summarized 120 cases suffering from esophageal variceal bleeding treated by splenorenal shunt plus portaazygods devascularization,from April,1978 to April,1997.Results The operative mortality was 4.2%,no short-term postoperative bleeding,and long-term postoperative bleeding rate was 9.5%,postoperative hepatic encephalopathy rate was 4.8%.Five,ten and fifteen years survival rate were 83.6%,64.5% and 54.5% respectively. The portal hemodynamics was observed by means of Doppler flowmeter,DSA,and intraoperative portal pressure measurement in some of the patients.Conclusion The result showed that combined shunt and portaazygous devacularization not only preserve the advantage of devacularization but also decrease the portal pressure and blood volume,alleviating portal hyperhemodynamics while preserve hepatopetal blood flow to some extent.
