Effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension
To investigate the effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension. Between January 2005 and January 2015, coronary-caval shunt operations combined with partial pericardial devascularisation...
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| Veröffentlicht in: | The Turkish journal of gastroenterology 2016-07, Vol.27 (4), p.354-360 |
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| container_title | The Turkish journal of gastroenterology |
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| creator | Bai, Jigang Xu, Meng Wang, Ruitao Mu, Yiping Dong, Shunbin Wu, Zheng Wu, Shengli Liu, Chan |
| description | To investigate the effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension.
Between January 2005 and January 2015, coronary-caval shunt operations combined with partial pericardial devascularisation were performed electively on 15 cirrhotic patients with portal hypertension. All of these patients had a history of oesophageal and gastric variceal bleeding. The clinical and follow-up data of these patients were reviewed retrospectively. Another 15 patients receiving non-surgical treatments in a similar follow-up period were used as controls to compare the preventive effects of different treatment strategies on rebleeding.
All of the 15 surgical procedures were performed successfully, and no severe complications occurred. Among these, autogenous splenic veins were used as bridge vessels in 6 cases, whereas the coronary vein and inferior vena cava were anastomosed directly in 9 cases. All surgical patients were followed up from 5 months to 10 years with an average of 63 months; 2 patients died due to liver failure induced by reactivation of hepatitis B virus and oesophageal/gastric variceal rebleeding, respectively. The rebleeding rates for surgical and non-surgical patients were 6.7% and 66.7% (p < 0.05), respectively, whereas the 5-year survival rates for the two groups were 85.7% and 33.3% (p < 0.05), respectively.
Patients with oesophageal and gastric variceal bleeding caused by portal hypertension may benefit from a coronary-caval shunt combined with partial pericardial devascularisation due to decreased coronary vein pressure, unaffected hepatic blood inflow, and reduced incidence of rebleeding. |
| doi_str_mv | 10.5152/tjg.2016.16086 |
| format | Article |
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Between January 2005 and January 2015, coronary-caval shunt operations combined with partial pericardial devascularisation were performed electively on 15 cirrhotic patients with portal hypertension. All of these patients had a history of oesophageal and gastric variceal bleeding. The clinical and follow-up data of these patients were reviewed retrospectively. Another 15 patients receiving non-surgical treatments in a similar follow-up period were used as controls to compare the preventive effects of different treatment strategies on rebleeding.
All of the 15 surgical procedures were performed successfully, and no severe complications occurred. Among these, autogenous splenic veins were used as bridge vessels in 6 cases, whereas the coronary vein and inferior vena cava were anastomosed directly in 9 cases. All surgical patients were followed up from 5 months to 10 years with an average of 63 months; 2 patients died due to liver failure induced by reactivation of hepatitis B virus and oesophageal/gastric variceal rebleeding, respectively. The rebleeding rates for surgical and non-surgical patients were 6.7% and 66.7% (p < 0.05), respectively, whereas the 5-year survival rates for the two groups were 85.7% and 33.3% (p < 0.05), respectively.
Patients with oesophageal and gastric variceal bleeding caused by portal hypertension may benefit from a coronary-caval shunt combined with partial pericardial devascularisation due to decreased coronary vein pressure, unaffected hepatic blood inflow, and reduced incidence of rebleeding.</description><identifier>ISSN: 1300-4948</identifier><identifier>EISSN: 2148-5607</identifier><identifier>DOI: 10.5152/tjg.2016.16086</identifier><identifier>PMID: 27458851</identifier><language>eng</language><publisher>Turkey</publisher><subject>Adult ; Case-Control Studies ; Esophageal and Gastric Varices - etiology ; Esophageal and Gastric Varices - surgery ; Female ; Follow-Up Studies ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - surgery ; Humans ; Hypertension, Portal - complications ; Liver - blood supply ; Male ; Middle Aged ; Pericardium - surgery ; Portacaval Shunt, Surgical - methods ; Portal Vein - surgery ; Retrospective Studies ; Treatment Outcome ; Vena Cava, Inferior - surgery</subject><ispartof>The Turkish journal of gastroenterology, 2016-07, Vol.27 (4), p.354-360</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27458851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bai, Jigang</creatorcontrib><creatorcontrib>Xu, Meng</creatorcontrib><creatorcontrib>Wang, Ruitao</creatorcontrib><creatorcontrib>Mu, Yiping</creatorcontrib><creatorcontrib>Dong, Shunbin</creatorcontrib><creatorcontrib>Wu, Zheng</creatorcontrib><creatorcontrib>Wu, Shengli</creatorcontrib><creatorcontrib>Liu, Chan</creatorcontrib><title>Effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension</title><title>The Turkish journal of gastroenterology</title><addtitle>Turk J Gastroenterol</addtitle><description>To investigate the effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension.
Between January 2005 and January 2015, coronary-caval shunt operations combined with partial pericardial devascularisation were performed electively on 15 cirrhotic patients with portal hypertension. All of these patients had a history of oesophageal and gastric variceal bleeding. The clinical and follow-up data of these patients were reviewed retrospectively. Another 15 patients receiving non-surgical treatments in a similar follow-up period were used as controls to compare the preventive effects of different treatment strategies on rebleeding.
All of the 15 surgical procedures were performed successfully, and no severe complications occurred. Among these, autogenous splenic veins were used as bridge vessels in 6 cases, whereas the coronary vein and inferior vena cava were anastomosed directly in 9 cases. All surgical patients were followed up from 5 months to 10 years with an average of 63 months; 2 patients died due to liver failure induced by reactivation of hepatitis B virus and oesophageal/gastric variceal rebleeding, respectively. The rebleeding rates for surgical and non-surgical patients were 6.7% and 66.7% (p < 0.05), respectively, whereas the 5-year survival rates for the two groups were 85.7% and 33.3% (p < 0.05), respectively.
Patients with oesophageal and gastric variceal bleeding caused by portal hypertension may benefit from a coronary-caval shunt combined with partial pericardial devascularisation due to decreased coronary vein pressure, unaffected hepatic blood inflow, and reduced incidence of rebleeding.</description><subject>Adult</subject><subject>Case-Control Studies</subject><subject>Esophageal and Gastric Varices - etiology</subject><subject>Esophageal and Gastric Varices - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - surgery</subject><subject>Humans</subject><subject>Hypertension, Portal - complications</subject><subject>Liver - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pericardium - surgery</subject><subject>Portacaval Shunt, Surgical - methods</subject><subject>Portal Vein - surgery</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Vena Cava, Inferior - surgery</subject><issn>1300-4948</issn><issn>2148-5607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kU1v1DAQhi0EotvClSPykUsWf8SJc0RVgUqVuMA5GtvjXVfZONjOov0x_FccWpBG8mjmmefgl5B3nO0VV-JjeTzsBePdnndMdy_ITvBWN6pj_Uuy45Kxph1afUWuc35kTGreidfkSvSt0lrxHfl95z3aQqOnNqY4Q7o0Fs4w0Xxc51KHJxNmdPRXKEe6QCqh7hZMwUJyW-_wDNmuE6SQoYQ4060wx-UIB6wAzI4eIJd6Qs-VstvQTIguzAdqYc1Vby50ianUzfFS7QXnXFVvyCsPU8a3z-8N-fH57vvt1-bh25f7208PjRWKlYbrATtw0hvhlXG89X4QyCxH3Ts1uH5obTco7IzSvBeemcFxYYBxKQVII2_IhyfvkuLPFXMZTyFbnCaYMa555Jr1Sup-YBXdP6E2xZwT-nFJ4VS_beRs3CIZayTjFsn4N5J68P7ZvZoTuv_4vwzkH846jBc</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Bai, Jigang</creator><creator>Xu, Meng</creator><creator>Wang, Ruitao</creator><creator>Mu, Yiping</creator><creator>Dong, Shunbin</creator><creator>Wu, Zheng</creator><creator>Wu, Shengli</creator><creator>Liu, Chan</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>Effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension</title><author>Bai, Jigang ; Xu, Meng ; Wang, Ruitao ; Mu, Yiping ; Dong, Shunbin ; Wu, Zheng ; Wu, Shengli ; Liu, Chan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c250t-189e6ad3fb2f5bd14ff92e0c1e87d59d794c695e6b58172f0b9d12ba01332a3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Case-Control Studies</topic><topic>Esophageal and Gastric Varices - etiology</topic><topic>Esophageal and Gastric Varices - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - surgery</topic><topic>Humans</topic><topic>Hypertension, Portal - complications</topic><topic>Liver - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pericardium - surgery</topic><topic>Portacaval Shunt, Surgical - methods</topic><topic>Portal Vein - surgery</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Vena Cava, Inferior - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bai, Jigang</creatorcontrib><creatorcontrib>Xu, Meng</creatorcontrib><creatorcontrib>Wang, Ruitao</creatorcontrib><creatorcontrib>Mu, Yiping</creatorcontrib><creatorcontrib>Dong, Shunbin</creatorcontrib><creatorcontrib>Wu, Zheng</creatorcontrib><creatorcontrib>Wu, Shengli</creatorcontrib><creatorcontrib>Liu, Chan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Turkish journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bai, Jigang</au><au>Xu, Meng</au><au>Wang, Ruitao</au><au>Mu, Yiping</au><au>Dong, Shunbin</au><au>Wu, Zheng</au><au>Wu, Shengli</au><au>Liu, Chan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension</atitle><jtitle>The Turkish journal of gastroenterology</jtitle><addtitle>Turk J Gastroenterol</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>27</volume><issue>4</issue><spage>354</spage><epage>360</epage><pages>354-360</pages><issn>1300-4948</issn><eissn>2148-5607</eissn><abstract>To investigate the effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension.
Between January 2005 and January 2015, coronary-caval shunt operations combined with partial pericardial devascularisation were performed electively on 15 cirrhotic patients with portal hypertension. All of these patients had a history of oesophageal and gastric variceal bleeding. The clinical and follow-up data of these patients were reviewed retrospectively. Another 15 patients receiving non-surgical treatments in a similar follow-up period were used as controls to compare the preventive effects of different treatment strategies on rebleeding.
All of the 15 surgical procedures were performed successfully, and no severe complications occurred. Among these, autogenous splenic veins were used as bridge vessels in 6 cases, whereas the coronary vein and inferior vena cava were anastomosed directly in 9 cases. All surgical patients were followed up from 5 months to 10 years with an average of 63 months; 2 patients died due to liver failure induced by reactivation of hepatitis B virus and oesophageal/gastric variceal rebleeding, respectively. The rebleeding rates for surgical and non-surgical patients were 6.7% and 66.7% (p < 0.05), respectively, whereas the 5-year survival rates for the two groups were 85.7% and 33.3% (p < 0.05), respectively.
Patients with oesophageal and gastric variceal bleeding caused by portal hypertension may benefit from a coronary-caval shunt combined with partial pericardial devascularisation due to decreased coronary vein pressure, unaffected hepatic blood inflow, and reduced incidence of rebleeding.</abstract><cop>Turkey</cop><pmid>27458851</pmid><doi>10.5152/tjg.2016.16086</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Case-Control Studies Esophageal and Gastric Varices - etiology Esophageal and Gastric Varices - surgery Female Follow-Up Studies Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - surgery Humans Hypertension, Portal - complications Liver - blood supply Male Middle Aged Pericardium - surgery Portacaval Shunt, Surgical - methods Portal Vein - surgery Retrospective Studies Treatment Outcome Vena Cava, Inferior - surgery |
| title | Effect of coronary-caval shunt combined with partial pericardial devascularisation on oesophageal and gastric variceal bleeding caused by portal hypertension |
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