Results of the study portosystemic shunt

The direct results of portosystemic shunt study in patients with portal hypertension. Materials and Methods.
 Results of treating 41 patients with portal hypertension (PH). In 17 patients was a Class A, Class B, 24 to Child-Pugh classification.
Splenorenal anastomosis performed side by side in 14 patients, distal splenorenal anastomosis in 11, splenorenal anastomosis with upper interlobar vein of the left kidney with splenectomy in 2, splenorenal anastomosis and splenectomy in 10 mesocaval anastomosis in 4 Fällen.Ergebnisse.

Esophageal varices I st. was in 6 (14.6%), II Art found. 14 (34.29%), III Art. in 21 (51.2%) patients. In patients with cirrhosis of the liver function class A, had an initial degree of esophageal varices (EW), there was expansion of the splenic to 0.86 ± 0.21 cm and moderate enlargement of the spleen to 12.9 ± 2.5 cm speed indicators in the veins of the portal system in this group of patients to reduce a tendency to. In patients with liver cirrhosis with functional class and pronounced EW noted: the further expansion of the splenic vein was 0.98 ± 0.17 cm, splenomegaly in 14 (58.3%) saw the blood flow in the vein periomphalic.

After applying splenorenal anastomosis with splenectomy at 3 in the early postoperative period developed esophageal gastric bleeding. Unloading in 38 patients portal system was angemessen.Fazit. Surgical correction of the introduction of various portosystemic anastomosis in patients of Child-Pugh class A and for varicose veins in the esophagus II-III century., Is effective. In the prevention and treatment of esophageal-gastric bleeding