Surgical and interventional radiological treatment of XXXX : report of nine cases.

@entity1 @entity6582 @entity101 @entity384 @entity843 @entity7752 @entity381 @entity3181 @entity715
BACKGROUND/AIMS: The authors present the methods and results of treatment of @entity1 with @entity3181 . METHODOLOGY: From a group of 15 @entity1 with @entity3181 , treated in our department from January 1996 to September 2001, nine @entity1 (6 females and 3 males, aged from 23 to 45 years) were qualified for surgical or radiological treatment. In 3 of them the @entity3181 resulted from untreated @entity6582 . In the remaining 6 cases the etiology of @entity715 remained unknown. In four @entity1 with dominating portal @entity101 symptoms, a meso-caval H-type graft was created. Four @entity1 with severe @entity7752 were qualified for orthotopic liver transplantation; all of them were transplanted. In 1 @entity1 a balloon dilatation of the right and middle hepatic veins orifices was performed during the diagnostic cavography. The follow-up period ranged from 4 months to 5 years. RESULTS: In 2 @entity1 with @entity3181 of unknown etiology, the "H"-shunt remained patent, and the @entity1 were free of @entity843 and @entity381 . During the period of follow-up (more than 5 years) they remained free of symptoms and demonstrated acceptable liver function parameters. Doppler sonography revealed the partial recanalization of the venous system. In 2 polycythemic @entity1 , the shunt thrombosed, which was the indication for orthotopic liver transplantation in one of them. The transplantation was performed, but was unsuccessful because of hepatic graft artery @entity715 . The retransplantation in this case was also unsuccessful. The remaining 3 @entity1 transplanted for cryptogenic @entity3181 are alive and well, 4, 5 and 11 months after orthotopic liver transplantation. In the @entity1 subjected to interventional radiological hepatic veins dilation, the vessels remain patent 26 months post-procedure. The @entity1 is free from @entity843 . CONCLUSIONS: Shunt surgery and liver transplantation are the valuable methods of treatment in selected cases of @entity3181 . In @entity1 with @entity6582 , however, @entity715 may occur in spite of anticoagulant and chemotherapeutic treatment. @entity384 may appear an alternative to surgical treatment, but it seems that its indications should be limited to a highly selected group of @entity1 .
