[Examination of portal hemodynamics of patients with gastric varices and clinical investigation of the significance of distal splenorenal shunt].
The portal hemodynamics of patients with gastric varices has not yet been clarified adequately and no treatment has been established. Distal splenorenal shunt was placed in thirty-two patients with gastric varices and by comparing with those with esophageal varices, several investigations were conducted. The results are presented below. 1) There were no specific factors influencing the basic illness, liver dysfunction and portal venous pressure of patients with gastric varices. 2) The portal hemodynamics of early or late stages after the distal splenorenal shunt of patients with gastric varices showed no specific change compared with those with esophageal varices. 3) The direction of portal blood flow of post operative gastric varix patients showed less uniformity than those with esophageal varices. 4) In the latter stages of post operative gastric varix patients, 80% of varices disappeared and showed progress in their daily lives. 5) It has been proven that distal splenorenal shunt is effective for patients with gastric varices.
Motohara
T
T
Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
D000328:Adult; D000368:Aged; D004932:Esophageal and Gastric Varices / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000503:physiopathology*; D013152:Splanchnic Circulation; D013164:Splenorenal Shunt, Surgical