Translated Titles

The Management of Hepatic Arterio-Portal Shunting in Hepatocellular Carcinoma-A Case Report


郭萬祐(Wan-Yuo Guo);楊建芳(Chien-Fang Yang);蘇友吉(Yeou-Gie Su);田雨生(Yeu-S Tyan);何永仁(Yung-Jen Ho);姜仁惠(Jen-Huey Chiang);張遵(Tsuen Chang)

Key Words


Volume or Term/Year and Month of Publication

10卷2期(1985 / 06 / 01)

Page #

143 - 146

Content Language


Chinese Abstract


English Abstract

Ruptured esophageal varices with massive hematemesis is a common cause of death in cirrhosis associated with hepatoma. Once the arterio-portal shunting develops, the direct transmission of the arterial pressure as well as the increased blood flow ‘to the portal system contributes to the increase of portal pressure. The direction of the flow ifl theportal system is then altered to hepatofugal condition and causes decreased perfusion of the liver and increases the risk of variceal bleeding. Transcatheter arterial embolization with gelfoam pieces, and coil can occlude the fistula. After embolization, the portal pressure and the risk of esophageal varices bleeding will decrease significantly and, thus, eliminate the need for surgical treatment and prolonged the patient's life.

Topic Category 醫藥衛生 > 基礎醫學