[The late results of performing a shunting operation in liver cirrhosis].
The comparative analysis of late follow-up results of the distal splenorenal anastomosis forming operation is presented, performed according to standard method of W. D. Warren (DSRA st.) in 12 patients, DSRA in modification of K. Inokuchi (DSRA mod.)--in 12 and nonselective portocaval shunting--in 23. After the DSRA st. forming during 12-16 mo the intrapancreatic portosystemic venous collaterals have been formed, through which 40% of the portal vein blood flowed by, causing hepatic portal perfusion lowering and enhancing the portosystemic encephalopathy occurrence frequency up to 25%. The splenopancreatic venous disconnection performance had prolonged the selectivity of the shunt preservation. In the late follow-up period the frequency of the bleeding and thrombotic complications occurrence after selective and nonselective shunting is similar. The late survival index and the patients' "quality" of life is significantly higher after the selective shunting operation performance.
Kotenko
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D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D013997:Time Factors