Current role of surgery for the treatment of portal hypertension

Hйctor Orozco, MD; Miguel Angel Mercado, MD; Carlos Chan, MD; Guillermo Ramos-Gallard, MD; Raъl Gбlvez-Treviño, MD; Noel Salgado-Nesme, MD; Roberto Cisneros De-ajuria, MD; Francisco Javier Anthón, MD

Annals of Hepatology (Oct 2002)

Current role of surgery for the treatment of portal hypertension

Hйctor Orozco, MD,
Miguel Angel Mercado, MD,
Carlos Chan, MD,
Guillermo Ramos-Gallard, MD,
Raъl Gбlvez-Treviño, MD,
Noel Salgado-Nesme, MD,
Roberto Cisneros De-ajuria, MD,
Francisco Javier Anthón, MD

Affiliations

Hйctor Orozco, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”; Address for correspondence:
Miguel Angel Mercado, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”
Carlos Chan, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”
Guillermo Ramos-Gallard, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”
Raъl Gбlvez-Treviño, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”
Noel Salgado-Nesme, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”
Roberto Cisneros De-ajuria, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”
Francisco Javier Anthón, MD: Department of Surgery. Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirбn”

Journal volume & issue: Vol. 1, no. 4
pp. 175 – 178

Abstract

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Portal hypertension surgery has evolved widely in the last decades. Since the first surgical shunt was done in 1945 for the treatment of recurrent hemorrhage, many surgical options have been developed including selective shunts, low diameter shunts and extensive devascularization procedures. Many of them have been studied and compared showing their advantages and disadvantages, evolving also their role in the therapeutic armamentarium.Surgery is nowadays a second line treatment option (after β blockers and endoscopic therapy), and it’s main indication is for patients whose main and only problem is history of bleeding, with good liver function (Child-Pugh A). For emergency situations it has a very limited role and for primary prophylaxis virtually has also no role. Patients with good liver function, electively operated with portal blood flow preserving procedures are the patients that benefit from surgical treatment. Patients with a bad liver function are better candidates for a liver transplant.

Published in Annals of Hepatology

ISSN: 1665-2681 (Print); 2659-5982 (Online)
Publisher: Elsevier
Country of publisher: Spain
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine
Website: https://www.journals.elsevier.com/annals-of-hepatology

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