Studies on the Results of the Nonshunting Procedures for Portal Hypertension

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Title ( eng )
Studies on the Results of the Nonshunting Procedures for Portal Hypertension
Title ( jpn )
門脈庄亢進症に対する直達手術成績の検討
Creator
Kodama Motomu
Tanaka Tsuneo
Seikoh Rokuro
Takeuchi Hitoshi
Harada Mitsuo
Ito Nobuaki
Kodama Osamu
Ezaki Haruo
Source Title
Hiroshima Journal of Medical Sciences
Volume 32
Issue 3
Start Page 241
End Page 246
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
The number of operations for portal hypertension performed, in our institute, during the period of 1973 through 1981 was 68. The nonshunting procedure used on all of them was the Tokyo-University-Second-Surgery method (Sugiura's method). The results of these operations have been studied and presented in this paper.

It was noted that the mortality was 7.7% by Sugiura's method, as compared to 13.3% by transthoracic esophageal transection (esophageal transection), and 18.5% by Hassab's method. According to Child's classification, Child A was 0%, B, 9.8% and C, 35.7%.

The accumulated survival rate proved good after Sugiura's method, as classified by the formula, in idiopathic portal hypertension (IPH), as classified by the basic disease, in prophylactic operation, as classified by the time of surgery, and in Child A, according to Child's classification, respectively. Esophageal varices examined with an endoscope disappeared for the most part after Sugiura's method, indicating good improvement. After Sugiura's method, no recurrence of bleeding was observed, whereas after esophageal transection, one case of bleeding (6.7 %) and one case (3.7 %) after Hassab's operation were noted.

The results suggest that Sugiura's method is associated with the best results when the mortality, accumulated survival rate, endoscopic findings, and the recurrence rate of bleeding are considered.
Keywords
Nonshunting procedure
Portal hypertension
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University School of Medicine
Date of Issued 1983-09
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312
[PMID] 6643102