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Modified Sugiura's procedure may improve liver function in portal hypertension
E C Tsimoyiannis1, K J Gossios, E V Tsianos
1Department of Surgery, G. Hatzikosta General Hospital, Ioannina, Greece.
Hepato-Gastroenterology
|March 1, 1997
Summary
The modified Sugiura procedure effectively treats bleeding gastroesophageal varices, improving liver function and reducing rebleeding. This surgical approach offers a promising alternative for managing portal hypertension complications.
Area of Science:
- Gastroenterology
- Hepatology
- Surgical Oncology
Background:
- Gastroesophageal varices are a serious complication of portal hypertension.
- The Sugiura procedure is a surgical option for managing bleeding varices.
Purpose of the Study:
- To evaluate postoperative changes in CT scan features and biochemical markers after the modified Sugiura procedure.
- To assess the efficacy of the Sugiura procedure in patients with hemorrhagic portal hypertension.
Main Methods:
- Eight patients with liver cirrhosis and portal hypertension underwent the modified Sugiura operation.
- Hepatic function and caudate-to-right lobe width ratio on CT were assessed pre-operatively and post-operatively.
Main Results:
- Hepatic function initially worsened but improved significantly by 15-30 days post-surgery.
- The caudate-to-right lobe ratio decreased post-surgery, indicating reduced portal hypertension.
- Low mortality and recurrent bleeding rates were observed, with one late rebleeding case.
Conclusions:
- The modified Sugiura procedure is effective in resolving esophageal varices and improving hepatic function.
- The procedure is associated with low mortality and recurrent bleeding rates.
- Improved hepatic portal blood flow may contribute to enhanced liver function post-surgery.