[Surgical treatment of portal hypertension in patients with liver cirrhosis].
Surgical options in the treatment of portal hypertension in cirrhotics are reviewed, regarding elective and emergency cases as well as the results in alcoholics and non-alcoholics. After literature review and personal experience analysis, it is concluded that endoscopic sclerotherapy should be the treatment of choice in cirrhotic patients with bleeding esophageal varices. When this fails, distal splenorenal shunt is indicated for compensated Child A and B. Regarding Child C and decompensated Child B, the choice should be a portocaval or meso caval shunts or esophageal transection with a stapler associated to splenectomy.
D'Albuquerque
L A
LA
Departamento de Gastroenterologia da Faculdade de Medicina da Universidade de São Paulo, (FMUSP).
de Oliveira e Silva
A
A
Pinto Júnior
P E
PE
de Miranda
M P
MP
Genzini
T
T
Gama-Rodrigues
J J
JJ
D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008103:Liver Cirrhosis / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical; D012597:Sclerosing Solutions / Q000627:therapeutic use; D013164:Splenorenal Shunt, Surgical
D012597:Sclerosing Solutions
Tratamento cirúrgico da hipertensão portal em cirróticos.