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[Late results of portacaval surgical shunt in patients with extrahepatic portal hypertension].
Eksp Klin Gastroenterol. 2003EK

Abstract

Late outcomes of portocaval shunting (PCS) were analyzed in 135 patients with extrahepatic portal hypertension (EPH). It was established that the methods of choice in such patients should be splenorenal anastomosis, mesentericocaval anastomosis (MCA) "side by side" and H-type with autovenous or synthetic insertions. The best results were detected in a combination of portocaval anastomosis with the suturing pf stomach and esophageal varicose veins, if the diameter of the anastomosed vessel was small and portal pressure was reduced by less than 25% (100 mm of water column). The ineffectiveness of MCA "end in side" by Bogoras and cavamesenterial anastomosis was shown due to low efficiency and severe complications, respectively. These data demonstrate efficacy of endovascular dilatation in PCA stenoses, yet the possibilities of severe complications still exist. The best result of endoscopic PCS estimation 1 year after the surgery suggested complete recovery of patients with EPH in most cases.

Authors+Show Affiliations

Eramishantsev AK
Russian Research Center of Surgery, Russian Academy of Medical Sciences, Moscow.
Lebezev VM
No affiliation info available
Gunzynov GD
No affiliation info available

MeSH

AdolescentAdultChildEsophageal and Gastric VaricesFemaleHumansHypertension, PortalMaleMesenteric VeinsMiddle AgedPortacaval Shunt, SurgicalPortal PressureRenal VeinsSplenic VeinTime FactorsTreatment Outcome

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

rus

PubMed ID

14653246

Citation

Eramishantsev, A K., et al. "[Late Results of Portacaval Surgical Shunt in Patients With Extrahepatic Portal Hypertension]." Eksperimental'naia I Klinicheskaia Gastroenterologiia = Experimental & Clinical Gastroenterology, 2003, pp. 81-4, 116.
Eramishantsev AK, Lebezev VM, Gunzynov GD. [Late results of portacaval surgical shunt in patients with extrahepatic portal hypertension]. Eksp Klin Gastroenterol. 2003.
Eramishantsev, A. K., Lebezev, V. M., & Gunzynov, G. D. (2003). [Late results of portacaval surgical shunt in patients with extrahepatic portal hypertension]. Eksperimental'naia I Klinicheskaia Gastroenterologiia = Experimental & Clinical Gastroenterology, (4), 81-4, 116.
Eramishantsev AK, Lebezev VM, Gunzynov GD. [Late Results of Portacaval Surgical Shunt in Patients With Extrahepatic Portal Hypertension]. Eksp Klin Gastroenterol. 2003;(4)81-4, 116. PubMed PMID: 14653246.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Late results of portacaval surgical shunt in patients with extrahepatic portal hypertension]. AU - Eramishantsev,A K, AU - Lebezev,V M, AU - Gunzynov,G D, PY - 2003/12/5/pubmed PY - 2004/5/11/medline PY - 2003/12/5/entrez SP - 81-4, 116 JF - Eksperimental'naia i klinicheskaia gastroenterologiia = Experimental & clinical gastroenterology JO - Eksp Klin Gastroenterol IS - 4 N2 - Late outcomes of portocaval shunting (PCS) were analyzed in 135 patients with extrahepatic portal hypertension (EPH). It was established that the methods of choice in such patients should be splenorenal anastomosis, mesentericocaval anastomosis (MCA) "side by side" and H-type with autovenous or synthetic insertions. The best results were detected in a combination of portocaval anastomosis with the suturing pf stomach and esophageal varicose veins, if the diameter of the anastomosed vessel was small and portal pressure was reduced by less than 25% (100 mm of water column). The ineffectiveness of MCA "end in side" by Bogoras and cavamesenterial anastomosis was shown due to low efficiency and severe complications, respectively. These data demonstrate efficacy of endovascular dilatation in PCA stenoses, yet the possibilities of severe complications still exist. The best result of endoscopic PCS estimation 1 year after the surgery suggested complete recovery of patients with EPH in most cases. SN - 1682-8658 UR - https://www.unboundmedicine.com/medline/citation/14653246/[Late_results_of_portacaval_surgical_shunt_in_patients_with_extrahepatic_portal_hypertension]_ DB - PRIME DP - Unbound Medicine ER -