ANGIOGRAPHIC EVALUATION AFTER PORTAL BLOOD-FLOW PRESERVING OPERATIONS

被引：0

作者：

MERCADO, MA ^{[1
]}

TAKAHASHI, T ^{[1
]}

ROJAS, G ^{[1
]}

PRADO, E ^{[1
]}

HERNANDEZORTIZ, J ^{[1
]}

CHAN, C ^{[1
]}

TIELVE, M ^{[1
]}

OROZCO, H ^{[1
]}

机构：

[1] INST NACL NUTR SALVADOR ZUBIRAN,DEPT RADIOL,MEXICO CITY 14000,DF,MEXICO

来源：

JOURNAL OF CLINICAL GASTROENTEROLOGY | 1995年 / 21卷 / 02期

关键词：

PORTAL HYPERTENSION SURGERY; PORTAL VEIN ALTERATIONS;

D O I：

10.1097/00004836-199509000-00017

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We carried out a prospective study comparing postoperative portal angiographic characteristics in patients with hemorrhagic portal hypertension treated electively by two different portal blood flow preserving procedures. Between 1986 and 1991, a total of 81 patients underwent operation: 38 selective shunts and 43 Sugiura-Futagawa procedures. Cirrhosis was shown by biopsy in 50 cases, 26 of them secondary to alcoholism. We found rebleeding in 5% of the patients, incapacitating postoperative encephalopathy in 8%, and an operative mortality of 7%. Fifty-two cases were evaluated in the postoperative period with angiography; 21 patients treated with a Sugiura-Futagawa operation were excluded due to portal vein thrombosis shown in the preoperative studies. Postoperative portal vein thrombosis was found in 11 cases (21%) [seven cases in the Warren group (21%) and four cases in the Sugiura-Futagawa group (20%)] Decreased portal vein diameter was seen in eight cases (15%). The two procedures maintained hepatopedal portal blood flow, and no change was seen in relation to the preoperative state in 66% of the operated patients. We found no significant differences between the two procedures. Selection of procedure depends on the individual characteristics of each patient.

引用

页码：149 / 153

页数：5