肝移植时代门静脉高压症治疗策略

Chinese Journal of Practical Surgery ›› 2009, Vol. 29 ›› Issue (05) : 373-376.

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PDF(442 KB)
Chinese Journal of Practical Surgery ›› 2009, Vol. 29 ›› Issue (05) : 373-376.
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Abstract

Management of portal hypertension in an era of liver transplantation LENG Xi-sheng. Department of Surgery, Peking University People's Hospital, Beijing 100044,China Abstract The indications of patients with cirrhotic portal hypertension for liver transplantation could be summarized as: (1)Massive upper GI bleeding in a portal hypertensive patient complicated by liver disfunctions. (2) Recurrent spontaneous hepatic encephalopathy. (3)Intractable hepatic ascites.It should be emphasized that nonselective β-receptor blockers and esophageal varix ligatian should always be attempted in patients suffering from upper GI bleeding especially in those with compromised liver functions. Refined and pin-point gastroesophageal devascularization emphasizing the integrity of coronal and paraesophageal veins is effective in the prevention of recurrent bleeding as well as deterioration of liver functions

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liver transplantation / portal hypertension

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