Modified Sugiura's procedure may improve liver function in portal hypertension

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dc.contributor.authorTsimoyiannis, E. C.en
dc.contributor.authorGossios, K. J.en
dc.contributor.authorTsianos, E. V.en
dc.date.accessioned2015-11-24T19:04:09Z
dc.date.available2015-11-24T19:04:09Z
dc.identifier.issn0172-6390-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19984
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectAgeden
dc.subjectCause of Deathen
dc.subjectEmergenciesen
dc.subjectEsophageal and Gastric Varices/*surgeryen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectGastrointestinal Hemorrhage/surgeryen
dc.subjectHumansen
dc.subjectHypertension, Portal/complications/*physiopathology/radiographyen
dc.subjectLiver/*physiopathology/radiographyen
dc.subjectLiver Circulationen
dc.subjectLiver Cirrhosis/complications/physiopathology/radiographyen
dc.subjectLiver Failure/etiologyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPortal System/physiopathologyen
dc.subjectPortal Vein/physiopathologyen
dc.subjectPostoperative Complicationsen
dc.subjectRecurrenceen
dc.subjectRegional Blood Flowen
dc.subjectSurgical Procedures, Electiveen
dc.subjectSurvival Rateen
dc.subjectTomography, X-Ray Computeden
dc.titleModified Sugiura's procedure may improve liver function in portal hypertensionen
heal.abstractBACKGROUND/AIMS: Sugiura procedure is an alternative in the treatment of the bleeding gastroesophageal varices. The postoperative alterations of CT and biochemical features versus pre-operative levels in patients operated on for haemorrhagic portal hypertension were studied. MATERIAL AND METHODS: Eight patients with liver cirrhosis and portal hypertension who underwent emergency or elective modified Sugiura's operation, were included in this study. The hepatic function and the CT scan ratio of transverse caudate lobe width to transverse right lobe width, pre-operatively and during the early and late postoperative period were studied. RESULTS: The hepatic function was aggravated during the immediate postoperative period but was remarkably improved, versus pre-operative status, after the first 15-30 postoperative days. The caudate to right lobe ratio from 0.66-1.7 pre-operatively, decreased to < 0.65 in all cases after the first postoperative month or year. One patient died on the 64th postoperative day from progressive hepatic failure, while all tests of the first postoperative month follow-up were improved. Another patient presented a light rebleeding 4 years after operation, while the hepatic tests were average. CONCLUSIONS: The modified Sugiura's procedure is an effective procedure in the disappearence of the oesophageal varices, followed by low mortality and low recurrent bleeding, but it mainly leads to an improvement of the hepatic function, probably due to improved hepatic portal blood flow.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/9164524-
heal.journalNameHepatogastroenterologyen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1997-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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