Mesoatrial shunt in Budd-Chiari syndrome

被引:20
作者
Emre, A
Kalayci, G
Özden, I
Bilge, O
Acarli, K
Kaymakoglu, S
Rozanes, I
Ökten, A
Tekant, Y
Alper, A
Ariogul, O
机构
[1] Univ Istanbul, Istanbul Fac Med, Dept Gastroenterol, Istanbul, Turkey
[2] Univ Istanbul, Istanbul Fac Med, Dept Radiol, Istanbul, Turkey
[3] Univ Istanbul, Istanbul Fac Med, Dept Gen Surg, Istanbul, Turkey
[4] Univ Istanbul, Istanbul Fac Med, Hepatopancreatobiliary Surg Unit, Istanbul, Turkey
关键词
D O I
10.1016/S0002-9610(00)00335-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: The operations with proven effects on survival in Budd-Chiari syndrome are shunt operations and liver transplantation. PATIENTS AND METHODS: Between 1993 and 1999 (June), 13 cases of Budd-Chiari syndrome have been treated surgically. Four cases had concomitant thrombosis of the inferior vena cava; the others had marked narrowing of the lumen due to the enlarged caudate lobe. Mesoatrial (n = 12) or mesosuperior vena caval (n = 1) shunts were constructed with ringed polytetrafluoroethylene grafts. RESULTS: The median portal pressure fell from 45 (range 32 to 55) to 20 (range 11 to 27) cm H2O (P <0.001). Two patients died in the early postoperative period. One patient who did not comply with anticoagulant treatment had a shunt thrombosis in the second postoperative year. The other 10 patients are alive without problems during a median 42 (range 1 to 76) months of follow-up. CONCLUSION: Mesoatrial shunt with a ringed polytetrafluoroethylene graft is effective in Budd-Chiari syndrome cases with thrombosis or significant stenosis in the inferior vena cava. Am J Surg. 2000;179:304-308. (C) 2000 by Excerpta Medica, Inc.
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页码:304 / 308
页数:5
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