 |
|
Portal Vein Thrombosis Associated With CirrhosisClinical Importance
I. James Sarfeh, MD
Arch Surg. 1979;114(8):902-905.
Abstract
• A group of 86 cirrhotics undergoing therapeutic variceal decompressive procedures were studied. Patients with portal vein thrombosis (PVT) comprised 21% of the group and more frequently had uncontrollable hemorrhage at an earlier stage of liver disease. Mortality in the 18 cirrhotics with PVT was higher (56%), mostly as a result of rebleeding. Despite adjustments for stage of liver disease and type of operation, in no cirrhotic with PVT did postshunt encephalopathy develop, compared with 32% incidence in patients without PVT (P <.05). It is concluded that patients with cirrhosis and PVT represent a different subpopulation of cirrhotics. Once adequate variceal decompression has been achieved, their prognosis should be superior to cirrhotics without PVT because their hepatic hemodynamics are unaffected by total shunting, hence precluding further impairment of liver function as a result of acute reduction of hepatic blood flow.
(Arch Surg 114:902-905, 1979)
Author Affiliations
From the Department of Surgery, Albany (NY) Medical College.
Footnotes
Accepted for publication May 8, 1979.
Reprint requests to Department of Surgery, Albany Medical College, Albany, NY 12208 (Dr Sarfeh).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Improved Results of Liver Transplantation in Patients With Portal Vein Thrombosis
Seu et al.
Arch Surg 1996;131:840-845.
ABSTRACT
Bile Duct Varices
Spira et al.
Arch Surg 1985;120:1194-1196.
ABSTRACT
Portal Decompression in Portal Vein Thrombosis Following Central Splenorenal Shunt
Hans and Harrity
VASC ENDOVASCULAR SURG 1984;18:238-243.
The Inferior Mesenteric Vein as a Conduit for Variceal Decompression: A Preliminary Report
Sarfeh and Mason
VASC ENDOVASCULAR SURG 1982;16:302-309.
ABSTRACT
|
