Comparing Portosystemic Shunting Techniques in Patients with Portal Hypertension and Liver Cirrhosis
Keywords:
Liver cirrhosis, Portal hypertension, Bleeding from esophageal varices, Liver insufficiency, Transjugular Intrahepatic Portosystemic Shunting (TIPS), Sclerotherapy, Endo scopic ligation, Portosystemic shuntingAbstract
During almost half of century period, in the Department of Surgery of Portal Hypertension and Pancreatoduodenal Zone of the JSC “Republican Specialized Center of Surgery (named after Academician V. Vakhidov”), portosystemic shunting (PSSh in the traditional variant) was performed on 925 patients suffering with portal hypertension (PH). Results and competitive prospects of PSSh in patients with PH are represented in this article. In accordance with literature data, as well as our own experience, competitive prospects of traditional PSSh, endoscopic methods and transjugular intrahepatic portosystemic shunting (TIPS), in patients with portal hypertension, were defined. For patients with functional class A and B (Child-Pugh), and in the absence of liver transplantation prospects, central partial or selective PSSh, can be considered as competitive alternative.
