Title: State of portal collateral circulation and operation mode selection in portal hypertension
Abstract: Objective
Checking patients with 16-slice CT portal venography (CTPV), discussing the state of portal collateral circulation in portal hypertension patients, to evaluate the value of CTPV for choosing a reasonable of surgery mode.
Methods
Seventy-three liver cirrhosis patients with portal hypertension received splenectomy(14 cases), portal azygous disconnection(37 cases), shunt operations(17 cases) or combined with splenorenal shunt and devascularization(5 cases), CTPV were performed in every patient before operation and the clear images of portal collateral vessels were obtained.
Results
CTPV could reconstruct portal collateral circulation system. In 73 patients, left gastric varices, esophageal and paraesophageal, spleen varices were manifestations in 55 cases(75.3%), abdominal umbilical veins with varicose veins in 5 cases(6.8%), short gastric/post-gastric varices in 9 cases(12.3%), portal vein change or embolism in 9 cases(12.3%), superior mesenteric vein occlusion in 3 cases(4.1%).
Conclusion
With CTPV reconstruction for collateral circulation of portal vein, combined with liver function and portal hemodynamics and other information, a reasonable surgical approach for portal hypertension in individual treatment can be choosed.
Key words:
Portal hypertension; Body section radiography; Surgical treatment
Publication Year: 2011
Publication Date: 2011-06-01
Language: en
Type: article
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