1Krasnoyarsk State Medical University, Named After Professor V. F. Voyno-Yasenetsky, Department of Pediatric Surgery with a Post-Graduate Course Named After Professor V. P. Krasovskaya
2City Clinical Hospital, #20 Named After I. S. Berzon, City of Krasnoyarsk, Russia
3Krasnoyarsk State Medical University, Named After Professor V. F. Voyno-Yasenetsky, Department of Latin and Foreign Languages
*Corresponding email: gvyur4uk@mail.ru
Online published on 29 September, 2018.
The aim of the study: To determine the necessary shunt diameter and assess the optimal portal blood volume in a shunt in children with extrahepatic portal hypertension before the portosystemic shunt surgery. Changes in the liver hemodynamics were studied in 81 children aged from 4 to 7 years with extrahepatic portal hypertension. We established that it is necessary to calculate the shunt diameter and the blood volume in a shunt in patients with extrahepatic portal hypertension before the portosystemic shunt surgery. It allows us to preserve the hepatic portal blood flow and effectively decrease the pressure in the portal system. Portosystemic shunt surgery in patients with extrahepatic portal hypertension performed in accordance with the individualized shunt volume significantly decreases portal pressure, preserves stable hepatic hemodynamics and prevents gastro-esophageal hemorrhage.
Extrahepatic portal hypertension, hepatic blood flow volume, portosystemic shunt surgery, ultrasound examination
