ADAPTING PORTAL DECOMPRESSION FOR ELEVATION OF EFFICACY OF PORTOSYSTEMIC SHUNTING OPERATIONS IN PORTAL HYPERTENSION

Abstract

Purpose: to improve the results of portosystemic shunting surgical interventions using of procedures of adapting portal decompression during preoperation period. Materials and Methods: the results of transjugular intrahepatic portosystemic shunt (TIPS procedure) in 113 patients were analyzed. In 60 cases the procedure of adapting portal decompression during a period 3-5 weeks using selective vasoconstrictor octreotide in complex with non-selective beta-blockers.Results: during the follow-up postoperative period in group of patients who were undergone for adapting portal decompression the restitution of clinical and laboratory data was noticed and does not increase occurrence of hepatic insufficiency in comparison with control group.Summary: using of adapting portal decompression in preoperative period before TIPS procedure in patients with complicated portal hypertension is effective for prophylaxis of making worse of hepatic insufficiency.

Keywords

• portal hypertension
• tips procedure
• hepatic insufficiency
• selective vasoconstrictors