RESULTATS IMMEDIATS ET ELOIGNES DE 171 DERIVATIONS PORTO SYSTEMIQUES THERAPEUTIQUES

Translated title of the contribution: Immediate and late results of 171 therapeutic portal systemic bypass operations

G. Pezzuoli, G. P. Spina, F. Galeotti, G. Battaglia

Research output: Contribution to journalArticle

Abstract

The authors report the results of 171 cases of portal systemic bypass operations out of a total of 200 cases operated on between 1968 and 1974. These 171 patients all presented with a syndrome of portal hypertension with oesophageal varices and all had previously bled. Their age lay in 70% of cases between 40 and 60 years and the cause of hypertension was in 96% of cases an intra-hepatic block. 41% were included in the risk group A according to Child's classification, 51% in Group B and 8% in Group C. The routine operation was side-to-side portacaval anastomosis (75%). The operative mortality was 5.2% in all with 1% in cases with risk A, and 15% in cases with risk C. The fall in portal pressure was on average 15 cm of water, i.e. 41% of the initial pressure. The overall survival after 5 years was 65%, 70% for risk A and 26% for risk C. In 69% of cases the cause of death was liver failure. Encephalopathy, studied in 76 patients over an average period of 3 years, occurred in 39% of cases, and in 13% of the latter it was serious. In the 12% of survivors, the authors noted recurrent hemorrhage, but in only 2.5% of cases did the bleeding definitely come from oesophageal varices. In the light of these results, the authors judge positively the surgical treatment of portal hypertension.

Translated title of the contributionImmediate and late results of 171 therapeutic portal systemic bypass operations
Original languageFrench
Pages (from-to)209-218
Number of pages10
JournalJournal de Chirurgie
Volume114
Issue number3
Publication statusPublished - 1977

ASJC Scopus subject areas

  • Surgery

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    Pezzuoli, G., Spina, G. P., Galeotti, F., & Battaglia, G. (1977). RESULTATS IMMEDIATS ET ELOIGNES DE 171 DERIVATIONS PORTO SYSTEMIQUES THERAPEUTIQUES. Journal de Chirurgie, 114(3), 209-218.