The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present
Based on an experience of more than 50 years in the treatment of portal hypertension (PHT), the authors review and analyze the evolution of the surgical portocaval shunt (PCS). We would like to provide an insight into the past of PCS, in order to compare it with the current state of the treatment of...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2022/1382556 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563526974046208 |
|---|---|
| author | Petre Radu Virgiliu-Mihail Prunoiu Victor Strâmbu Dragos Garofil Roxana Elena Doncu Eugen Brătucu Laurentiu Simion Maria-Manuela Răvaş Mircea Nicolae Brătucu |
| author_facet | Petre Radu Virgiliu-Mihail Prunoiu Victor Strâmbu Dragos Garofil Roxana Elena Doncu Eugen Brătucu Laurentiu Simion Maria-Manuela Răvaş Mircea Nicolae Brătucu |
| author_sort | Petre Radu |
| collection | DOAJ |
| description | Based on an experience of more than 50 years in the treatment of portal hypertension (PHT), the authors review and analyze the evolution of the surgical portocaval shunt (PCS). We would like to provide an insight into the past of PCS, in order to compare it with the current state of the treatment of PHT complications. As a landmark of the past, we shall present statistics of more than 500 cases of PHT operated between 1968 and 1983. From this group, 238 patients underwent surgical portocaval shunting during a fifteen-year period. The behavior of the portal hemodynamics following PCS was studied and the postoperative decrease in portal pressure (PP), as well as the residual PP, were recorded. The portal manometric determinations were made by electronic recordings using the Hellige device and direct intraoperative recordings through the catheterization of a ramus in the portal area. The results of PCS are superposable, in terms of hemodynamic efficiency, with those of the intrahepatic shunt (TIPS—transjugular intrahepatic portosystemic shunt). The authors discuss the current place of PCS, in obvious decline in comparison with the situation 50 years ago. The current methods of controlling variceal bleeding represent obvious progress. PCS remains with very limited indications, in specific situations when the other therapeutic methods have failed or are not recommended. |
| format | Article |
| id | doaj-art-e0852680c7b447118b241af5d79d4f68 |
| institution | Kabale University |
| issn | 2291-2797 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-e0852680c7b447118b241af5d79d4f682025-02-03T01:19:59ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27972022-01-01202210.1155/2022/1382556The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and PresentPetre Radu0Virgiliu-Mihail Prunoiu1Victor Strâmbu2Dragos Garofil3Roxana Elena Doncu4Eugen Brătucu5Laurentiu Simion6Maria-Manuela Răvaş7Mircea Nicolae Brătucu8“Carol Davila” Hospital Surgery“Carol Davila” University of Medicine and Pharmacy“Carol Davila” Hospital Surgery“Carol Davila” Hospital Surgery“Carol Davila” University of Medicine and Pharmacy“Carol Davila” University of Medicine and Pharmacy“Carol Davila” University of Medicine and Pharmacy“Carol Davila” University of Medicine and Pharmacy“Carol Davila” Hospital SurgeryBased on an experience of more than 50 years in the treatment of portal hypertension (PHT), the authors review and analyze the evolution of the surgical portocaval shunt (PCS). We would like to provide an insight into the past of PCS, in order to compare it with the current state of the treatment of PHT complications. As a landmark of the past, we shall present statistics of more than 500 cases of PHT operated between 1968 and 1983. From this group, 238 patients underwent surgical portocaval shunting during a fifteen-year period. The behavior of the portal hemodynamics following PCS was studied and the postoperative decrease in portal pressure (PP), as well as the residual PP, were recorded. The portal manometric determinations were made by electronic recordings using the Hellige device and direct intraoperative recordings through the catheterization of a ramus in the portal area. The results of PCS are superposable, in terms of hemodynamic efficiency, with those of the intrahepatic shunt (TIPS—transjugular intrahepatic portosystemic shunt). The authors discuss the current place of PCS, in obvious decline in comparison with the situation 50 years ago. The current methods of controlling variceal bleeding represent obvious progress. PCS remains with very limited indications, in specific situations when the other therapeutic methods have failed or are not recommended.http://dx.doi.org/10.1155/2022/1382556 |
| spellingShingle | Petre Radu Virgiliu-Mihail Prunoiu Victor Strâmbu Dragos Garofil Roxana Elena Doncu Eugen Brătucu Laurentiu Simion Maria-Manuela Răvaş Mircea Nicolae Brătucu The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present Canadian Journal of Gastroenterology and Hepatology |
| title | The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present |
| title_full | The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present |
| title_fullStr | The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present |
| title_full_unstemmed | The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present |
| title_short | The Portosystemic Shunt for the Control of Variceal Bleeding in Cirrhotic Patients: Past and Present |
| title_sort | portosystemic shunt for the control of variceal bleeding in cirrhotic patients past and present |
| url | http://dx.doi.org/10.1155/2022/1382556 |
| work_keys_str_mv | AT petreradu theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT virgiliumihailprunoiu theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT victorstrambu theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT dragosgarofil theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT roxanaelenadoncu theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT eugenbratucu theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT laurentiusimion theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT mariamanuelaravas theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT mirceanicolaebratucu theportosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT petreradu portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT virgiliumihailprunoiu portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT victorstrambu portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT dragosgarofil portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT roxanaelenadoncu portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT eugenbratucu portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT laurentiusimion portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT mariamanuelaravas portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent AT mirceanicolaebratucu portosystemicshuntforthecontrolofvaricealbleedingincirrhoticpatientspastandpresent |