Paradoxical roles of spontaneous portosystemic shunts and their management strategy in splenectomy with devascularization
10.3760/cma.j.cn501113-20250505-00171
- VernacularTitle:自发性门体分流的两面性及其在脾切除联合断流术中的处理策略
- Author:
Yang BU
1
;
Mingguo TIAN
Author Information
1. 宁夏回族自治区人民医院肝胆外科，银川 750002
- Publication Type:Journal Article
- Keywords:
Portal hypertension;
Spontaneous portosystemic shunts;
Splenectomy combined with devascularization;
Management strategy;
Therapeutic
- From:
Chinese Journal of Hepatology
2025;33(5):416-421
- CountryChina
- Language:Chinese
-
Abstract:
Spontaneous portosystemic shunt (SPSS) is an important pathological feature in the progression of cirrhotic portal hypertension and acts as the body's compensatory mechanism for reducing portal hypertension. Recent research results show that SPSS is an important link in the development of cirrhosis into the decompensated stage and is also the main cause of hepatic encephalopathy after splenectomy combined with devascularization. Therefore, during splenectomy combined with devascularization, it is necessary to decide on treatment measures such as disconnection, flow limitation, or retention of the distal side as a selective shunt channel according to its location and shunt volume.
