Long-term prognosis of prehepatic portal hypertension.
The study is a report of the long-term follow-up of 53 patients with prehepatic portal hypertension, their life and work conditions. The average time of the follow-up was 25 years. It was concluded, that the long-term prognosis is derived from the development of the disease, its recognition, the used therapy and from the function of the patient's liver. From the battery of therapeutic modalities a very good experience has been achieved with the endoscopic treatment of bleeding varices. The portosystemic shunt is a pathophysiologically well justified but selective procedure, which is indicated in about 20% of bleeding patients. The long-term prognosis of the disease was found good in 75% of patients.
1st Surgical Clinic, Palacký University, Olomouc, Czechoslovakia.
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Králík
D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D008099:Liver / Q000098:blood supply* / Q000473:pathology; D011379:Prognosis; D012189:Retrospective Studies; D013997:Time Factors