Comparisons between Portosystemic Shunting Modalities in Patients with Liver Cirrhosis and Portal Hypertension
Keywords:
Liver cirrhosis, Portal hypertension, Bleeding from esophageal varices, Liver insufficiency, Transjugular Intrahepatic Portosystemic Shunting (TIPS), Sclerotherapy, Endoscopic ligation, Portosystemic shuntingAbstract
During almost half of century period, in the Department of Surgery of Portal Hypertension
and Pancreatoduodenal Zone of the JSC “Republican Specialized Center of Surgery (named
after Academician V. Vakhidov”), portosystemic shunting (PSSh in the traditional variant) was
performed on 925 patients suffering with portal hypertension (PH). Results and competitive
prospects of PSSh in patients with PH are represented in this article. In accordance with literature data, as well as our own experience, competitive prospects of traditional PSSh, endoscopic
methods and transjugular intrahepatic portosystemic shunting (TIPS), in patients with portal
hypertension, were defined. For patients with functional class A and B (Child-Pugh), and in the
absence of liver transplantation prospects, central partial or selective PSSh, can be considered
as competitive alternative
