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Portosystemic shunt surgery in patients with idiopathic noncirrhotic portal hypertension

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dc.contributor.author Karagül, Servet
dc.contributor.author Yağcı, Mehmet Ali
dc.contributor.author Tardu, Ali
dc.contributor.author Ertuğrul, İsmail
dc.contributor.author Kırmızı, Serdar
dc.contributor.author Sümer, Fatih
dc.contributor.author Işık, Burak
dc.contributor.author Kayaalp, Cüneyt
dc.contributor.author Yılmaz, Sezai
dc.date.accessioned 2017-08-04T13:09:07Z
dc.date.available 2017-08-04T13:09:07Z
dc.date.issued 2016
dc.identifier.citation Karagül, S. Yağcı, M. A. Tardu, A. Ertuğrul, İ. Kırmızı, S. Sümer, F. Işık, B. Kayaalp, C. Yılmaz, S. (2016). Portosystemic Shunt Surgery in Patients with Idiopathic Noncirrhotic Portal Hypertension. Annals of Transplantation, 21, 317–320. tr_TR
dc.identifier.issn 2329-0358
dc.identifier.uri http://www.annalsoftransplantation.com/abstract/index/idArt/898253
dc.identifier.uri http://hdl.handle.net/11616/7462
dc.description.abstract Idiopathic noncirrhotic portal hypertension (INCPH) is a rare disease characterized by increased portal venous pressure in the absence of cirrhosis and other causes of liver diseases. The aim of the present study was to present our results in using portosystemic shunt surgery in patients with INCPH. MATERIAL AND METHODS Patients who had been referred to our Liver Transplantation Institute for liver transplantation and who had undergone surgery from January 2010 to December 2015 were retrospectively analyzed. Patients with INCPH who had undergone portosystemic shunt procedure were included in the study. Age, sex, symptoms and findings, type of portosystemic shunt, and postoperative complications were assessed. RESULTS A total of 1307 patients underwent liver transplantation from January 2010 to December 2015. Eleven patients with INCPH who did not require liver transplantation were successfully operated on with a portosystemic shunt procedure. The mean follow-up was 30.1±19 months (range 7-69 months). There was no mortality in the perioperative period or during the follow-up. Two patients underwent surgery again due to intra-abdominal hemorrhage; one had bleeding from the surgical site except the portacaval anastomosis and the other had bleeding from the h-graft anastomosis. No patient developed encephalopathy and no patient presented with esophageal variceal bleeding after portosystemic shunt surgery. Shunt thrombosis occurred in 1 patient (9.9%). Only 1 patient developed ascites, which was controlled medically. CONCLUSIONS Portosystemic shunt surgery is a safe and effective procedure for the treatment of patients with INCPH. tr_TR
dc.publisher Annals of Transplantation tr_TR
dc.relation.isversionof 10.12659/AOT.898253 tr_TR
dc.rights info:eu-repo/semantics/embargoedAccess tr_TR
dc.title Portosystemic shunt surgery in patients with idiopathic noncirrhotic portal hypertension tr_TR
dc.type article tr_TR
dc.relation.journal Annals of Transplantation tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.contributor.authorID 110105 tr_TR
dc.identifier.volume 21 tr_TR
dc.identifier.startpage 317 tr_TR
dc.identifier.endpage 320 tr_TR

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