[Portal Hypertension]

Overview

Journal Langenbecks Arch Chir

Specialty General Surgery

Date 1984 Jan 1

PMID 6334209

Authors

H Denck

Affiliations

Soon will be listed here.

Abstract

The most frequent cause of portal hypertension is the intrahepatic pre-sinusoidal block in (alcoholic) liver cirrhosis. Every surgical intervention is a great stress for these patients, since it is very difficult to influence the course of cirrhosis itself. Laboratory chemistry and haemodynamical prognostic criteria are of limited value only. Especially during the acute stage clinical evaluation of the patient's general and nutritional condition, age, as well as signs of decompensation such as encephalopathy, icterus and ascites are still of greatest importance. A more or less normal volume of the liver and a perfusion index of approx. 1 is regarded to be a favourable prognostic factor.

References

Giannone G, GLABMAN S, Burrows L, Schanzer H . Treatment of refractory ascites in hemodialysis patient with peritoneovenous shunt (Denver shunt). Mt Sinai J Med. 1983; 50(3):256-7. View

Fleig W . [Endoscopic sclerosing therapy of esophageal varices: present status]. Z Gastroenterol. 1983; 21(4):151-8. View

Reiner D, Kaminski D . Comparative evaluation of selective and nonselective peripheral portosystemic shunts for treatment of variceal hemorrhage. Am J Surg. 1982; 144(6):704-10. DOI: 10.1016/0002-9610(82)90555-4. View

Gertsch P, Loup P, Diserens H, Mosimann F, MOSIMANN R . Endoscopic noninvasive manometry of esophageal varices: prognostic significance. Am J Surg. 1982; 144(5):528-30. DOI: 10.1016/0002-9610(82)90573-6. View

UNGEHEUER E . [Recent aspects of diagnosis and therapy of the portal hypertension]. Med Klin. 1953; 48(49):1809-13. View

MARZ E, UNGEHEUER E, Berkhoff W . [Massive esophageal varices hemorrhage. Ligation, sclerotherapy of the esophageal wall or emergency shunt?]. Fortschr Med. 1981; 99(15):550-3. View

Cornet L, LOUBIERE R, NGuessan A, Mobiot L, Schaub V, Kadio R . [Surgical treatment of portal hypertension in patients with bilharziosis and Banti's syndrome in tropical Africa (author's transl)]. Chirurgie. 1980; 106(5):335-42. View

MOSIMANN R, Marquis C, Mosimann F, Gertsch P . Long-term follow-up after a distal splenorenal shunt procedure. A clinical and hemodynamic study. Am J Surg. 1983; 145(2):253-5. DOI: 10.1016/0002-9610(83)90073-9. View

ZANNINI G, Masciariello S, Pagano G, Sangiuolo P, Zotti G, Iaccarino V . Percutaneous splenic artery occlusion for portal hypertension. A new mechanical technique for hypersplenism. Arch Surg. 1983; 118(8):897-900. DOI: 10.1001/archsurg.1983.01390080005001. View

10.

Rose J, Crane M, Smith P . Factors affecting successful endoscopic sclerotherapy for oesophageal varices. Gut. 1983; 24(10):946-9. PMC: 1420152. DOI: 10.1136/gut.24.10.946. View

11.

Schumpelick V, SCHREIBER H . [Therapy of esophageal varices--comparison between shunt surgery and endoscopic sclerosing therapy]. Z Gastroenterol. 1983; 21(12):690-9. View

12.

Spence R, Sloan J, JOHNSTON G . Oesophagitis in patients undergoing oesophageal transection for varices--a histological study. Br J Surg. 1983; 70(6):332-4. DOI: 10.1002/bjs.1800700608. View

13.

Brunner G, Harke U . [Treatment of bleeding oesophageal varices. Results of combined medical and endoscopically selective intravascular sclerotherapy]. Dtsch Med Wochenschr. 1982; 107(47):1791-5. DOI: 10.1055/s-2008-1070208. View

14.

Soper N, Rikkers L . Effect of operations for variceal hemorrhage on hypersplenism. Am J Surg. 1982; 144(6):700-3. DOI: 10.1016/0002-9610(82)90554-2. View

15.

Grendell J, Cello J, Margaretten W, Heilbron D . Impact of preshunt liver histology on survival following portasystemic shunt surgery for bleeding esophageal varices. Dig Dis Sci. 1983; 28(1):44-55. DOI: 10.1007/BF01393360. View

16.

Terblanche J, Bornman P, Kahn D, Jonker M, Campbell J, Wright J . Failure of repeated injection sclerotherapy to improve long-term survival after oesophageal variceal bleeding. A five-year prospective controlled clinical trial. Lancet. 1983; 2(8363):1328-32. DOI: 10.1016/s0140-6736(83)91090-5. View

17.

MATZANDER U . [Results of veno-venous shunt with arterialization of the liver (author's transl)]. Langenbecks Arch Chir. 1976; 342:145-51. DOI: 10.1007/BF01267361. View

18.

Wexler M, Miller N, McLean A . An aggressive, nonshunting approach for control of bleeding esophageal varices. Surg Gynecol Obstet. 1983; 157(4):341-50. View

19.

Warren W . Control of variceal bleeding. Reassessment of rationale. Am J Surg. 1983; 145(1):8-16. DOI: 10.1016/0002-9610(83)90159-9. View

20.

Bahr R, Kieninger G, Lorber H . [Treatment of drug therapy resistant ascites with the peritoneovenous shunt]. Chirurg. 1983; 54(7):493-5. View