Summary
After long-term (1–14.5 years) postoperative follow-up observations of 407 cases of portal hypertension, the therapeutic effects of 204 cases which had undergone gastroesophageal devascularization (GEDV) and 203 cases which had undergon eportal systemic shunt (PSS) were compared. The long-term survival rate ot GEDV (89.0%) is higher than that of PSS (61.67%). The incidence of both bleeding and hepatic encephalopathy is much lower in GEDV than in PSS (6.90%, 0%, versus 15.75 %, 12.95% respectively). There is no significant difference in other respects, such as, pre and postoperative changes in varices, liver function, ascites and working capability. The observation also indicates that GEDV has the advantage of broader spectrum on case selection for operation. On the basis of our observation, we prefer GEDV to shunt procedures for patients of Child’s class C or patients with acute massive bleeding.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Huang CT, et al. Long-term results of splenorenal shunt in portal hypertension. Chin Med J 1979; 92(3): 155–63.
Hassab MA. Nonshunt operations in portai hypertension without cirrhosis. SGO 1970; 131: 648–54.
Hassab MA. Gastroesophageal decongestion and splenectomy in the treatment of esophageal varices in bilharzial cirrhosis; Further studies with a report on 335 operations. Surgery 1967; 61(2): 169–76.
Thiel H. Liver hemodynamics and portacaval shunt. SGO 1980; 150(4): 587–92.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
En-ci, L., Di-qun, W., Xue-hong, L. et al. A comparison of the therapeutic effects of gastroesophageal devascularization and portal systemic shunt in the treatment of portal hypertension. Acta Academiae Medicinae Wuhan 4, 152–157 (1984). https://doi.org/10.1007/BF02856868
Issue Date:
DOI: https://doi.org/10.1007/BF02856868