Author/Editor		Flis, Vojko; Gadžijev, Eldar
Title		Kirurško zdravljenje pri portalni hipertenziji zaradi tromboze vene porte
Translated title		Surgical treatment of portal hypertension due to portal vein thrombosis
Type		članek
Source		Med Mes
Vol. and No.		Letnik 3, št. 10-11
Publication year		2007
Volume		str. 332-6
Language		slo
Abstract		An inportant role still exists for surgical procedures in patients with extrahepatic portal hypertension due to portal vein thrombosis and suffering from recurrent variceal bleeding despite endoscopic sclerotherapy. Mesenterico left portal bypass procedure is the procedure of choice in such patients. Alternative procedure is selective or partialy selective portosystemic shunt. In presented case a segment of autogenous saphenous vein was used to bridge the distance between superior mesenteric vein and left renal vein. Presented case is used to discuss different surgical approaches in treatment of complications of nonmalignant portal vein thrombosis.
Summary		Kirurško zdravljenje ima še vedno pomembno vlogo pri bolnikih s portalno hipertenzijo zaradi tromboze vene porte in krvavitvami iz varic požiralnika, ki jih ni mogoče nadzorovati z endoskopsko sklerozacijo. Fiziološka poprava portalnega pretoka s povezavo med povirjem zgornje vene mezenterike in intrahepatalnim portalnim sistemom je metoda izbora. Alternativna postopka sta selektivni ali delno selektivni portosistemski obvod. V prikazanem primeru je bila napravljena povezava med v.mesenterico superior in levo veno renalis z venskim vsadkom (velika safena). Na osnovi prikazanega primera avtorja razpravljata o različnih kirurških načinih zdravljenja posledic nemaligne tromboze vene porte.
Descriptors		HYPERTENSION, PORTAL PORTASYSTEMIC SHUNT, SURGICAL