Pericardial devascularization combined with Latarjet's innervation in the treatment of patients with portal hypertension.
OBJECTIVE
To study the effect of pericardial devascularization combined with Latarjet's innervation on portal hypertension.


METHODS
Forty-eight patients undergoing pericardial devascularization combined with Latarjet's innervation were compared with 57 patients with devascularization. Clinical results were evaluated by postoperative portal vein pressure, postoperative rebleeding, operative mortality, abdominal distension, sudden diarrhea, and gastric retention.


RESULTS
The incidence of rebleeding, mortality, abdominal distension, sudden diarrhea, and gastric retention was 2%, 6.3%, 6.3%, 4.2% and 0% respectively in pericardial devascularization combined with Latarjet's innervation, and 12.5%, 12.3%, 24.6%, 15.6% and 14% respectively in devascularization.


CONCLUSIONS
Pericardial devascularization combined with Latarjet's innervation preserves the normal function of gastric emptying. This method plays an important role in maintaining nutritional supply and digestive function.
Department of Surgery, Beijing Army General Hospital, Beijing 100700, China.
S
S
Li
E
E
Wu
J
J
Huang
C
C
Luo
D000328:Adult; D013505:Digestive System Surgical Procedures; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D010496:Pericardium / Q000601:surgery*; D013270:Stomach / Q000601:surgery; D014628:Vagotomy / Q000379:methods