Determining the optimal portal blood volume in a shunt before surgery in extrahepatic portal hypertension
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 4
Abstract
The aim of the study: To determine the necessary shunt diameter and assess the optimal portal blood volume in a shunt in children with extrahepatic portal hypertension before the portosystemic shunt surgery. Changes in the liver hemodynamics were studied in 81 children aged from 4 to 7 years with extrahepatic portal hypertension. We established that it is necessary to calculate the shunt diameter and the blood volume in a shunt in patients with extrahepatic portal hypertension before the portosystemic shunt surgery. It allows us to preserve the hepatic portal blood flow and effectively decrease the pressure in the portal system. Portosystemic shunt surgery in patients with extrahepatic portal hypertension performed in accordance with the individualized shunt volume significantly decreases portal pressure, preserves stable hepatic hemodynamics and prevents gastro-esophageal hemorrhage.
Authors and Affiliations
Yurchuk Vladimir A. | Krasnoyarsk State Medical University Named After Professor V. F. Voyno-Yasenetsky Department of Pediatric Surgery with a Post-Graduate Course Named After Professor V. P. Krasovskaya, City Clinical Hospital #20 Named After I. S. Berzon, City of Krasnoyarsk, Russia, Ranchaeva Natalia A. | Krasnoyarsk State Medical University Named After Professor V. F. Voyno-Yasenetsky Department of Pediatric Surgery with a Post-Graduate Course Named After Professor V. P. Krasovskaya, City Clinical Hospital #20 Named After I. S. Berzon, City of Krasnoyarsk, Russia, Yurchuk Galina V. | Krasnoyarsk State Medical University Named After Professor V. F. Voyno-Yasenetsky Department of Latin and Foreign Languages, Corresponding email gvyur4uk@mail.ru, Mendeleeva Ludmila Ya| Krasnoyarsk State Medical University Named After Professor V. F. Voyno-Yasenetsky Department of Latin and Foreign Languages
Keywords
Related Articles
- EP ID EP11638
- DOI -
- Views 292
- Downloads 10
Organ-specific autoimmunity in type 1 diabetes mellitus: Screening with respect to glycemic control
Type 1 diabetes (T1D) is a tissue-specific autoimmune disease and often associated with other autoimmune diseases; so our study aimed to define the occurrence of thyroid peroxidase antibody (TPOAb) and thyroglobulin an...
CORRELATION BETWEEN THE RETINAL NERVE FIBRE LAYER (RNFL) PARAMETERS MEASURED USING STRATUS OPTICAL COHERENCE TOMOGRAPHY AND GDx VCC (SCANNING LASER POLARIMETRY) IN ESTABLISHED GLAUCOMA PATIENTS IN SOUTH INDIAN POPULATION
Purpose: Optical Coherence Tomography and Scanning LASER polarimetry (GDx) are investigatory modalities used to evaluate the structural changes in the optic nerve and retina in glaucoma patients.This study aims to eval...
Assessment of disk diffusion and E-test methods to determine antimicrobial activity of cefalotin and vancomycin on clinical isolates of Staphylococcus aureus
The present investigation aims to find a specific method to test the clinical isolates of Staphylococcus aureus in terms of antimicrobial susceptibility and resistance to two drugs of cefalotin and vancomycin using E-te...
G6PD Variants, Malaria and Sensorineural Hearing Loss in São Tomé and PrÃncipe: A Case-Control Study
Background: São Tomé and PrÃncipe (STP) is a least developed country (LDC) on Sub-Saharan Africa, in which was detected a high prevalence of sensorineural Hearing Loss (SNHL). HL is a common condition with both genet...
MOLECULAR DETECTION OF RIFAMPICIN AND ISONIAZID RESISTANCE IN CULTURE ISOLATES OF NEWLY DIAGNOSED TB PATIENTS
Introduction: Multidrug-resistant tuberculosis (MDR-TB) is an emerging public health problem in many regions of the world, particularly in developing nations. Accurate and rapid diagnosis is essential in the management...