[The role of the portosystemic shunt in modern treatment of portal hypertension].
The authors discuss the importance of portosystemic anastomoses in contemporary treatment of portal hypertension, in particular in relation to TIPS. As a basis they use their own experience with 28 portosystemic anastomoses during the last five years and conclude that a correctly indicated anastomosis has certain advantages over TIPS. The basic requirements for indication of surgical peripheral portosystemic anastomoses are: 1. stage Child A (or onset of B), 2. posthaemorrhagic conditions, 3. satisfactory general condition, 4. stabilized liver disease and planned surgery.
Král
V
V
I. chirurgická klinika FN, Olomouc.
Králík
J
J
Klein
J
J
Köcher
M
M
D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical; D019168:Portasystemic Shunt, Transjugular Intrahepatic