{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T05:40:01Z","timestamp":1723095601139},"reference-count":0,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":660,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1999,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic> Hemorrhagic portal hypertension, secondary\nto both intrahepatic and extrahepatic portal\nhypertension, is an uncommon entity. In this condition,\nthe extrahepatic and the intrahepatic obstruction\nof the portal vein, due to chronic liver disease,\nproduce a more severe form of hemorrhagic portal\nhypertension that is more difficult to control. The\nresults of surgical treatment (modified Sugiura\u2010\nFutagawa operation) in this subset of patients is\nanalyzed.<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic> Among 714 patients with a history of\nhemorrhagic portal hypertension, 14 cases were\nfound with histologically proven liver cirrhosis\nand complete splenomesoportal thrombosis demonstrated\nby means of preoperative angiography.\nPatients with incomplete (partial) splenomesoportal\nthrombosis were excluded. There were nine males\nand 5 females with a mean age of 51 years. Alcoholic\ncirrhosis was demonstrated in 50% of the cases, post\nhepatitic cirrhosis in 28%, primary biliary cirrhosis\nin 7%, and cryptogenic cirrhosis in 14%. There were\nnine Child\u2010Pugh A and 5 B cases. All cases were\ntreated by means of our modified Sugiura\u2010Futagawa\nprocedure.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic> Bleeding recurrence from esophagogastric\nvarices was shown in one case, colonic varices in one\ncase and hypertensive gastropathy in another of the\nsurvivors. Post operative encephalopathy was\nshown in 3 of the cases. The thirty\u2010six month\nsurvival rate was 30% (Kaplan\u2010Meier).<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic> The combination of intrahepatic plus\nextrahepatic portal hypertension has a worse prognosis.\nTreatment options are limited (sclerotherapy\nand\/or devascularization), because shunt surgery,\nTIPS and liver transplantation have a very restricted\nrole and postoperative outcome is poor.<\/jats:p>","DOI":"10.1155\/1999\/30698","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"157-162","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Results of Surgical Treatment(Modified Sugiura\u2010Futagawa Operation) of PortalHypertension Associated to CompleteSplenomesoportal Thrombosis and Cirrhosis"],"prefix":"10.1155","volume":"11","author":[{"given":"Miguel Angel","family":"Mercado","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Chan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Zenteno-Guichard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mois\u00e9s","family":"V\u00e1sques","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9ctor","family":"Orozco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1998,3,12]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1999\/030698.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/hpb\/1999\/030698.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1999\/30698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T05:22:55Z","timestamp":1723094575000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1999\/30698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,3,12]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1999,1]]}},"alternative-id":["10.1155\/1999\/30698"],"URL":"https:\/\/doi.org\/10.1155\/1999\/30698","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1998,3,12]]},"assertion":[{"value":"1997-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1998-03-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1998-03-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}