Studies on the Results of the Nonshunting Procedures for Portal Hypertension

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タイトル ( eng )
Studies on the Results of the Nonshunting Procedures for Portal Hypertension
タイトル ( jpn )
門脈庄亢進症に対する直達手術成績の検討
作成者
Kodama Motomu
Tanaka Tsuneo
Seikoh Rokuro
Takeuchi Hitoshi
Harada Mitsuo
Ito Nobuaki
Kodama Osamu
Ezaki Haruo
収録物名
Hiroshima Journal of Medical Sciences
32
3
開始ページ 241
終了ページ 246
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
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.
著者キーワード
Nonshunting procedure
Portal hypertension
NDC分類
医学 [ 490 ]
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University School of Medicine
発行日 1983-09
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
収録物識別子
[ISSN] 0018-2052
[NCID] AA00664312
[PMID] 6643102