[Combined TIPSS with modified Sugiura operation for portal hypertension].
OBJECTIVE
To evaluate the clinical results of combined TIPSS with modified Sugiura operation for portal hypertension.


METHODS
24 patients with portal hypertension associated with variceal bleeding and ascites were treated with TIPSS and then modified Sugiura operation two weeks later.


RESULTS
After combined TIPSS with modified Sugiura operation, variceal bleeding ceased and ascites subsided. The portal pressure significantly decreased (P < 0.01) and the portal blood flowed quickly (P < 0.01). The blood velocity of intrahepatic shunts was (132.64 +/- 41.42) cm/s. Direct portal venography showed that coronary vein had disappeared. No rebleeding was noted in varices and stenosis in intrahepatic shunts.


CONCLUSIONS
Combined TIPSS with modified Sugiura operation not only can reduce portal pressure and improve portal circulation, but also completely interrupt coronary vein and maintain liver function.
Wu
X
X
Depatment of Surgery, General Hospital of Nanjiang Unit, People's Liberation Army, Nanjing 210002.
Li
J
J
Cao
J
J
Wu
X
X
Han
J
J
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods*; D013156:Splenectomy