[Is surgery for portal hypertension a contraindication for liver transplantation?]. / Representa la cirugía de la hipertensión portal una contraindicación al trasplante hepático?
Gastroenterol Hepatol
; 21(8): 382-5, 1998 Oct.
Article
en Es
| MEDLINE
| ID: mdl-9844275
ABSTRACT
INTRODUCTION:
Orthotopic liver transplantation (OLT) is the only curative treatment for hepatic cirrhosis and is the most effective in the control of portal hypertension. The aim of this study was to analyze whether greater morbi-mortality is observed in patients undergoing liver transplantation with previous surgery for portal hypertension with respect to patients not having undergone this surgery. MATERIALS ANDMETHODS:
Different variables were analyzed in 2 groups of transplanted patients one of 18 patients who had previously undergone surgery for portal hypertension and another group of 54 patients without this previous surgery.RESULTS:
The following factors were studied mean operative time and length of anahepatic phase, intraoperative consumption of concentrates of erythrocytes, fresh frozen plasma, units of platelets and cryoprecipitates, days of mechanical ventilation, stay in the ICU and total postoperative stay. No significant differences were observed (p < 0.05) in any of these factors or in survival.DISCUSSION:
On analysis of the difficulty of surgical technique, postoperative evolution and survival and based on the variables described it may be concluded that previous surgery for portal hypertension does not only not contraindicate posterior liver transplantation, but rather may be useful in patients with an adequate hepative reserve presenting variceal hemorrhage since posterior transplantation does not present a worsened prognosis.
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Banco de datos:
MEDLINE
Asunto principal:
Trasplante de Hígado
/
Hipertensión Portal
Tipo de estudio:
Prognostic_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Gastroenterol Hepatol
Año:
1998
Tipo del documento:
Article