PORTOSYSTEMIC SHUNT OPERATIONS IN THE SURGERY OF PORTAL HYPERTENSION: FROM ECK’S FISTULA TO TIPS PROCEDURE (DEDICATED TO 100 YEARS’ JUBILEE OF MESENTERICOCAVAL SHUNT – BOGORAZ’S OPERATION)

Abstract

An age of the porotsystemic surgery of portal hypertension is estimated near of 150 years. Such complications as esophageal varices, ascitis, splenomegaly, hepatic encephalopathy requires to decrease the pressure in portal vein system effectively. Otherwise, variceal esophageal bleeding, hepatorenal syndrome, hypersplenism and coma, would be lifethreatening conditions with frequent fatal outcome for patient. 100 years ago Prof. Nikolay Bogoraz proposed mesentericocaval shunt. So, this method of portal decompression is actual up to modern times. A spectrum of surgical interventions for portal decompression is multiplied, but transabdominal operations are intolerable frequently by majority of patients with advanced hepatic insufficiency. Transjugular intrahepatic portosystemic shunt (TIPS procedure) represents as method of choice with high clinical effectiveness and low traumatism.

Keywords

• portal hypertension
• lifethreatening complications
• portosystemic shunt
• tips procedure