Japanese Journal of Portal Hypertension
Online ISSN : 2186-6376
Print ISSN : 1344-8447
ISSN-L : 1344-8447
Long-term Prognostic Evaluation of Non-shunt Operation for Portal Hypertension
Shigeru TakamoriAkiko OgawaNoritoshi YoshidaKazunaga NakanoGohtaro OrihataNarihiro OharaShujiro OtaKuniaki KojimaMasaki FukasawaTomoe BeppuShunji Futagawa
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2001 Volume 7 Issue 4 Pages 200-206

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Abstract
We attempted to determine prognostic factors by comparison of cumulative survivals in each clinical factors in 605 patients with esophagogastric varices who underwent non-shunt operation such as esophageal transection and Hassab's operation. Univariate analysis revealed that sex, severity of liver function as assessed according to the Child's classification, timing of operation, postoperative bleeding and complicated hepatocellular carcinoma significantly influenced prognosis. By multivariate analysis, however, only severity of liver function and hepatocellular carcinoma were found to be significant independent prognostic factors. Therefore, postoperative bleeding is not a significant prognostic factor in non-shunt operation. The non-shunt operation may be superior to endoscopic treatment because bleeding from residual and recurrent varices, which often influences prognosis in endoscopic treatment, does not influence prognosis.
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© The Japan Society for Portal Hypertension
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