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[Combined TIPSS with modified Sugiura operation for portal hypertension]
1Depatment of Surgery, General Hospital of Nanjiang Unit, People's Liberation Army, Nanjing 210002.
Objective:
To evaluate the clinical results of combined TIPSS with modified Sugiura operation for portal hypertension.
Methods:
24 patients with portal hypertension associated with variceal bleeding and ascites were treated with TIPSS and then modified Sugiura operation two weeks later.
Results:
After combined TIPSS with modified Sugiura operation, variceal bleeding ceased and ascites subsided. The portal pressure significantly decreased (P < 0.01) and the portal blood flowed quickly (P < 0.01). The blood velocity of intrahepatic shunts was (132.64 +/- 41.42) cm/s. Direct portal venography showed that coronary vein had disappeared. No rebleeding was noted in varices and stenosis in intrahepatic shunts.
Conclusions:
Combined TIPSS with modified Sugiura operation not only can reduce portal pressure and improve portal circulation, but also completely interrupt coronary vein and maintain liver function.
