PURPOSE: The outcomes of surgery for portal hypertensive patients at a single community hospital in the last two decades were retrospectively examined. METHODS: From June 1989 to March 2008, 13 of 848 (1.5%) portal hypertensive patients admitted and treated at the community hospital underwent surgery. The types of surgery performed were a distal splenorenal shunt for 2 patients, gastric devascularization and splenectomy for 8, laparoscopic gastric devascularization and splenectomy for 1, distal gastrectomy for 1, and splenectomy alone for 1. This study reviewed the postoperative records of the endoscopic findings and additional treatments, and the perioperative records. RESULTS: No patient had bleeding from esophagogastric varices during the 75-month mean follow-up period after surgery. Five patients had one or two series of endoscopic treatment for recurrent likely-to-bleed esophageal varices. One patient needed interventional radiology for recurrent gastric varices. No patients died due to upper gastrointestinal bleeding. The survival rates were 87.5% after 5 years and 46.9% after 10 years. CONCLUSIONS: Surgery for portal hypertensive patients performed at a single community hospital is still safe and effective, and has been adequately incorporated into the late treatment strategy for portal hypertensive patients.
PURPOSE: The outcomes of surgery for portal hypertensivepatients at a single community hospital in the last two decades were retrospectively examined. METHODS: From June 1989 to March 2008, 13 of 848 (1.5%) portal hypertensivepatients admitted and treated at the community hospital underwent surgery. The types of surgery performed were a distal splenorenal shunt for 2 patients, gastric devascularization and splenectomy for 8, laparoscopic gastric devascularization and splenectomy for 1, distal gastrectomy for 1, and splenectomy alone for 1. This study reviewed the postoperative records of the endoscopic findings and additional treatments, and the perioperative records. RESULTS: No patient had bleeding from esophagogastric varices during the 75-month mean follow-up period after surgery. Five patients had one or two series of endoscopic treatment for recurrent likely-to-bleed esophageal varices. One patient needed interventional radiology for recurrent gastric varices. No patients died due to upper gastrointestinal bleeding. The survival rates were 87.5% after 5 years and 46.9% after 10 years. CONCLUSIONS: Surgery for portal hypertensivepatients performed at a single community hospital is still safe and effective, and has been adequately incorporated into the late treatment strategy for portal hypertensivepatients.
Authors: Bogna Ziarkiewicz-Wróblewska; Barbara Górnicka; Tadeusz Wróblewski; Piotr M Małkowski; Jerzy Zurakowski; Marek Krawczyk; Aleksander Wasiutyński Journal: Med Sci Monit Date: 2004-10-26
Authors: Juan Turnes; Juan Carlos Garcia-Pagan; Juan G Abraldes; Manuel Hernandez-Guerra; Alessandra Dell'Era; Jaime Bosch Journal: Am J Gastroenterol Date: 2006-03 Impact factor: 10.864
Authors: Thomas D Boyer; J Michael Henderson; Adrienne M Heerey; Susana Arrigain; Vicky Konig; Jason Connor; Kareem Abu-Elmagd; John Galloway; Layton F Rikkers; Lennox Jeffers Journal: J Hepatol Date: 2007-10-23 Impact factor: 25.083