Open AccessPreoperative trans-jugular porto-systemic shunt for oncological gastric surgery in a cirrhotic patient
Author(s) -
Andrea Liverani,
Luigi Solinas,
Tatiana Di Cesare,
Luca Velari,
Tiziano Neri,
Francesco Cilurso,
Francesco Favi,
Giancarlo Bizzarri
Publication year - 2015
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v21.i3.997
Subject(s) - medicine , portal hypertension , cirrhosis , surgery , portal venous pressure , complication , jugular vein , gastroenterology
Abdominal surgery in cirrhotic patients with portal hypertension is associated with high incidence of disease and mortality. In these patients, oncological gastric procedures with lymph-nodes dissection show much higher complication rates than in normotensive portal vein patients. Thus, normalization of portal vein pressure may be a favorable determinant factor to reduce complications. We report a case of a patient with hepatitis C virus-related hepatic cirrhosis, esophageal varices, portal hypertension and gastric cancer. We demonstrated the efficacy of a preoperative trans-jugular porto-systemic shunt to perform oncological radical resection more safely. We retained preoperative the trans-jugular porto-systemic shunt in the patients with elevated portal pressure and gastric cancer to perform a gastrectomy more safely and to decrease morbidity and mortality of these cases.