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[Porto-systemic anastomosis in the treatment of portal hypertension due to intrahepatic block. Advanced surgical technics].
Minerva Chir. 1977 Nov 30; 32(22):1373-82.MC

Abstract

A physiopathological interpretation is offered of the possibilities given by recent selective or portally regulated reduction of pressure in achieving a balance between reduction of pressure and diversion. Classic demonstrations, in fact, prove effective in the prevention of haemorrhage due to rupture of oesophageal varices. On the other hand, by over-diversion of the portal flow from the liver, they may cause a further deterioration in liver performance and more imposing the greater the flow of portal blood through the liver preoperatively. Procedures aimed at de-tension of the portal system, particularly the gastro-oesophageal segment, and at ensuring an intrahepatic venous flow sufficient to obviate steal syndrome damage, are described. Some of these procedures are still at the experimental stage. The techniques involved are explained, along with the underlying principles achieved by or prospected for each of them.

Authors

Tiberio G
No affiliation info available
Botta GC
No affiliation info available
Longo T
No affiliation info available
Giulini SM
No affiliation info available

MeSH

DrainageEsophageal and Gastric VaricesGastrointestinal HemorrhageHumansHypertension, PortalMesenteric VeinsMethodsPortal SystemPostoperative ComplicationsSpleenUmbilical VeinsVenae Cavae

Pub Type(s)

English Abstract
Journal Article

Language

ita

PubMed ID

304538

Citation

Tiberio, G, et al. "[Porto-systemic Anastomosis in the Treatment of Portal Hypertension Due to Intrahepatic Block. Advanced Surgical Technics]." Minerva Chirurgica, vol. 32, no. 22, 1977, pp. 1373-82.
Tiberio G, Botta GC, Longo T, et al. [Porto-systemic anastomosis in the treatment of portal hypertension due to intrahepatic block. Advanced surgical technics]. Minerva Chir. 1977;32(22):1373-82.
Tiberio, G., Botta, G. C., Longo, T., & Giulini, S. M. (1977). [Porto-systemic anastomosis in the treatment of portal hypertension due to intrahepatic block. Advanced surgical technics]. Minerva Chirurgica, 32(22), 1373-82.
Tiberio G, et al. [Porto-systemic Anastomosis in the Treatment of Portal Hypertension Due to Intrahepatic Block. Advanced Surgical Technics]. Minerva Chir. 1977 Nov 30;32(22):1373-82. PubMed PMID: 304538.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Porto-systemic anastomosis in the treatment of portal hypertension due to intrahepatic block. Advanced surgical technics]. AU - Tiberio,G, AU - Botta,G C, AU - Longo,T, AU - Giulini,S M, PY - 1977/11/30/pubmed PY - 1977/11/30/medline PY - 1977/11/30/entrez SP - 1373 EP - 82 JF - Minerva chirurgica JO - Minerva Chir VL - 32 IS - 22 N2 - A physiopathological interpretation is offered of the possibilities given by recent selective or portally regulated reduction of pressure in achieving a balance between reduction of pressure and diversion. Classic demonstrations, in fact, prove effective in the prevention of haemorrhage due to rupture of oesophageal varices. On the other hand, by over-diversion of the portal flow from the liver, they may cause a further deterioration in liver performance and more imposing the greater the flow of portal blood through the liver preoperatively. Procedures aimed at de-tension of the portal system, particularly the gastro-oesophageal segment, and at ensuring an intrahepatic venous flow sufficient to obviate steal syndrome damage, are described. Some of these procedures are still at the experimental stage. The techniques involved are explained, along with the underlying principles achieved by or prospected for each of them. SN - 0026-4733 UR - https://www.unboundmedicine.com/medline/citation/304538/[Porto_systemic_anastomosis_in_the_treatment_of_portal_hypertension_due_to_intrahepatic_block__Advanced_surgical_technics]_ L2 - https://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -