Cirrhotic portal hypertension
Conditions
Interventions
sMSP group:Selective Modified Sugiura Procedure
MSP group:Modified Sugiura Procedure
Sponsors
Lanzhou University Second Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Patients with decompensated hepatic cirrhosis after hepatitis B, combined with splenomegaly, hypersplenism, and esophagogastric varices; 2) After the first or second esophageal and gastric varices bleeding, and the bleeding was stopped by medical treatment for at least one week; 3) It was confirmed during the operation that esophageal veins did not directly enter the esophagus, and perforating veins clearly existed; and 4) Adult patients who agreed to undergo the modified Sugiura procedure and sign informed consent.
Exclusion criteria
Exclusion criteria: 1) With a history of endoscopic ligation or sclerotherapy prior to surgery, or TIPS or other devascularization treatment; 2) With thrombosis in the portal vein and its branches by preoperative abdominal CT or ultrasound; 3) With liver cancer or other malignant tumors were found.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative rebleeding rate; | — |
Countries
China
Contacts
Public ContactYawu Zhang
Lanzhou University Second Hospital
Outcome results
None listed