Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
 free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 free
 free
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Two surgical procedures for esophagogastric variceal bleeding in patients with portal hypertension Yang L; Yuan LJ; Dong R; Yin JK; Wang Q; Li T; Li JB; Du XL; Lu JGWorld J Gastroenterol 2013[Dec]; 19 (48): 9418-24AIM: To determine the clinical value of a splenorenal shunt plus pericardial devascularization (PCVD) in portal hypertension (PHT) patients with variceal bleeding. METHODS: From January 2008 to November 2012, 290 patients with cirrhotic portal hypertension were treated surgically in our department for the prevention of gastroesophageal variceal bleeding: 207 patients received a routine PCVD procedure (PCVD group), and 83 patients received a PCVD plus a splenorenal shunt procedure (combined group). Changes in hemodynamic parameters, rebleeding, encephalopathy, portal vein thrombosis, and mortality were analyzed. RESULTS: The free portal pressure decreased to 21.43 +/- 4.35 mmHg in the combined group compared with 24.61 +/- 5.42 mmHg in the PCVD group (P < 0.05). The changes in hemodynamic parameters were more significant in the combined group (P < 0.05). The long-term rebleeding rate was 7.22% in the combined group, which was lower than that in the PCVD group (14.93%), (P < 0.05). CONCLUSION: Devascularization plus splenorenal shunt is an effective and safe strategy to control esophagogastric variceal bleeding in PHT. It should be recommended as a first-line treatment for preventing bleeding in PHT patients when surgical interventions are considered.|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Esophageal and Gastric Varices/diagnosis/etiology/mortality/physiopathology/*surgery[MESH]|Female[MESH]|Gastrointestinal Hemorrhage/diagnosis/etiology/mortality/physiopathology/*surgery[MESH]|Hemostasis, Surgical/adverse effects/*methods/mortality[MESH]|Humans[MESH]|Hypertension, Portal/diagnosis/*etiology/mortality/physiopathology[MESH]|Liver Cirrhosis/complications[MESH]|Male[MESH]|Middle Aged[MESH]|Operative Time[MESH]|Portal Pressure[MESH]|Postoperative Complications/etiology[MESH]|Retrospective Studies[MESH]|Time Factors[MESH]|Treatment Outcome[MESH]|Young Adult[MESH] |
