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《Acta Academiae Medicinae Jiangxi》 2001-01
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Treatment of Portal Hypertension with Combined Devascularization and Splenorenal Shunt

ZENG Fei,SUN Jin-you,HU Xiao-yun (Department of General Surgery,Second Affiliated Hospital, Jiangxi Medical College, Nanchang 330006,China)  
Objective: To explore a new operative method to improve the curative effects of portal hypertension caused by hepatocirrhosos. Method: 20 patients with portal hypertension were treated with combined devascularization (splenectomy, portaazygous devascularization and esophageal transection) and splenorenal shunt. Results: 1 patient died after operation. 12 patients were followed-up for 6~30 months postoperatively. None of the 12 patients had rebleeding and hepatic encephalopathy. Esophageal varices disappeared in 10 patients and improved in 2 patients. Ascites disappeared in 10 patients 2 months after operation, in 1 patient (with large amount) 6 months after operation. The bloodflow in portal vein and splenorenal anastomotic orifice were unobstructed under Color Doppler Sonography 6 months after operation. Conclusion: Combined devascularization and splenorenal shunt could make the devascularization more effectively in the treatment of portal hypertension.
【CateGory Index】: R657.34
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【Citations】
Chinese Journal Full-text Database 1 Hits
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【Co-citations】
Chinese Journal Full-text Database 10 Hits
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