TRANSJUGULAR INTRA HEPATIC PORTOSISTEMNY SHUNTING: METHOD OF CORRECTION OF INTRA HEPATIC PORTAL HYPERTENSIA
https://doi.org/10.21886/2219-8075-2014-2-79-83
Abstract
Purpose: Improvement of results of treatment of patients with the intra hepatic portal hypertensia (PH) a way of performance of a decompression of portal system installation of the intra hepatic shunt.
Materials and methods: The group of supervision was made by 128 patients from intra hepatic PH aged from 14 till 83 years: 77 men (60,2%) and 51 women (39,8%) by which PH for the purpose of correction was executed the TIPS.
Results: TIPS provides a decompression of portal system in 100%. The lethality made 2,34%. One of patients was lost as a result of yatrogenny injury of a vorotny vein, two patients with chronic hepatocellular insufficiency «C» a class died of the phenomena of the hepatokidney insufficiency aggravated with executed intervention.
Summary: TIPS is optimum for heavy category of patients with cirrhosis, is shown to patients at height of varicose bleeding, can be combined from an embolizatsiy left gastric vein, without complicating shunting procedure.
Materials and methods: The group of supervision was made by 128 patients from intra hepatic PH aged from 14 till 83 years: 77 men (60,2%) and 51 women (39,8%) by which PH for the purpose of correction was executed the TIPS.
Results: TIPS provides a decompression of portal system in 100%. The lethality made 2,34%. One of patients was lost as a result of yatrogenny injury of a vorotny vein, two patients with chronic hepatocellular insufficiency «C» a class died of the phenomena of the hepatokidney insufficiency aggravated with executed intervention.
Summary: TIPS is optimum for heavy category of patients with cirrhosis, is shown to patients at height of varicose bleeding, can be combined from an embolizatsiy left gastric vein, without complicating shunting procedure.
About the Authors
N. G. Sарrоnоvа
Rostov State Medical University
Russian Federation
chair of surgical diseases N 1
Russian Federation
chair of surgical diseases N 1
M. I. Polyak
Rostov State Medical University
Russian Federation
chair of surgical diseases N 1
Russian Federation
chair of surgical diseases N 1
E. V. Коsоvtsеv
Rostov State Medical University
Russian Federation
chair of surgical diseases N 1
Russian Federation
chair of surgical diseases N 1
References
1. Анисимов А.Ю., Туишев Р.И., Балашова О.В. Настоящее и будущее хирургии портальной гипертензии//Казанский медицинский журнал. -2004. -Т.85, №2. -С.99-102.
2. Бобров А.Н., Белякин С.А., Плюснин С.В. Этиологическая структура циррозов печени по результатам пятнадцатилетнего наблюдения//Вестник Российской военно-медицинской академии. -2011. -№1(33). -С.76-80.
3. Mieles L.A., Esquinel C.O., Van Thiel D.H. et al. Liver transplantation for tyrosinemia: a review of 10 cases from the University of Pittsburgh//Dig. Dis. Sci. -1990. -N 35. -P.153.
4. Семенова В.В. Дифференцированный подход к хирургическому лечению портальной гипертензии//Гепатология. -2007. -№5. -С.12-15.
5. Ерамишанцев А.К. Хирургическое лечение портальной гипертензии//Российский журнал гастроэнтерологии, гепатологии и колопроктологии. -1997. -№2. -С.72-75.
6. Ханевич М.Д., Кошевой А.П. Лечение при язвенных кровотечениях у больных с циррозом печени и портальной гипертензией//Вестник хирургии. -2000. -Т. 159, №2. -С.27-30.
7. Шапошников А.В. Асцит: современные подходы к классификации и лечению//Российский журнал гастроэнтерологии, гепатологии и колопроктологии. -2001. -№3. -С.19-23.
8. Котив Б.Н., Дзидзава И.И., Кочаткова А.А. и др. Роль портокавального шунтирования в эру трансплантации печени//Трансплантология. -2009. -№1. -С.34-38.
9. TIPS/ТИПС (трансюгулярное внутрипеченочное порто-системное шунтирование) и лечение варикозных пищеводно-желудочных кровотечений/Ю.В.Хоронько, М.Ф.Черкасов, М.И.Поляк, Ю.Е.Баранов. -М.: Фарм-Синтез, 2013. -242 с.
10. Ярема И.В., Омаров И.М. Хирургическая коррекция гемо-и лимфообращения при циррозе печени//Вестник хирургии. -2000. -Т.159, №6. -С.17-19.
Review
For citations:
Sарrоnоvа N.G., Polyak M.I., Коsоvtsеv E.V. TRANSJUGULAR INTRA HEPATIC PORTOSISTEMNY SHUNTING: METHOD OF CORRECTION OF INTRA HEPATIC PORTAL HYPERTENSIA. Medical Herald of the South of Russia. 2014;(2):79-83. (In Russ.) https://doi.org/10.21886/2219-8075-2014-2-79-83
Views:
721
Email this article 