Portal de Periódicos da CAPES

Total hepatofugal portal blood flow in cirrhosis demonstrated by transhepatic portography

1988; Thieme Medical Publishers (Germany); Volume: 148; Issue: 01 Linguagem: Inglês

10.1055/s-2008-1048143

1438-9029

F Burcharth, Jan Aagaard,

Organ Transplantation Techniques and Outcomes

We investigated 108 patients with cirrhosis of the liver and portal hypertension by percutaneous transhepatic portography to demonstrate the occurrence and frequency of total hepatofugal portal blood flow. Sixteen patients (14.8%) had a total hepatofugal portal blood flow. The aetiology of portal hypertension and the portal pressure did not differ from that in the group of patients with hepatopetal portal blood flow. A significantly higher percentage of patients in the group with hepatofugal flow had gastro-oesophageal varices (P less than 0.025). All patients with varices had bled. Half of the patients in the group with hepatofugal blood flow had a false splenoportographic diagnosis of portal vein thrombosis. In conclusion, total hepatofugal postal blood flow exists more often than hitherto assumed. Hepatofugal blood flow does not relieve portal hypertension nor prevent development of gastrooesophageal varices or bleeding.