Methods: Analysis of the quality of life was performed in 248 patients with LC after PSSh. Mean age was 28,4 ± 1,7 years. Distal splenorenal shunts (DSRS) was applied in 135 (54.4%) patients, 113 are made different versions of the selleck screening library central shunt. To assess the quality of life used questionnaire
developed by Younossi ZM et al. (1999) – The Chronic Liver Disease Questionnaire (CLDQ). Results: Of particular interest is the analysis of the quality of life before and after PSSh. We analyzed a group of 32 patients with LC. Summary results showed that up to shunting performance was significantly worse than in the periods immediately following the operation. Thus, if the average amount of preoperative score was 114,1 ± 1,4, then in terms of 3 months after PSSh – 127,5 ± 1,7 (P < 0,001). In turn, a 6-month observation of quality of life has decreased to 122,4 ± 1,8. For comparing quality of life in cirrhotic patients after PSSh
in the control group were included 50 patients. In the near future after PSSh average for all questions was only 4,4 ± 0,05 points. Later a significant reduction was obtained in time to 3 years – 3,7 ± 0,07 points, and to 5 years – 3,2 ± 0,10 points. Decline in the relative value of the average score was no different significantly across all domains (uniform reduction curves in 20,3–25,8%). Comparative analysis of quality of life on the scale of physical and psychological
showed that the progressive deterioration of the quality of Luminespib manufacturer life after PSSh also happens to 3–5 years of observation. Conclusion: Whatever the method of decompression in the remote period after PSSh marked progressive deterioration in quality of life index. On the scale of the physical condition of the questionnaire CLDQ, selective decompression is less value in relation to the central shunts, and on a scale of psychological the opposite pattern with higher values after DSRS. Key Word(s): 1. portal hypertantion; 2. liver cirrhosis; Presenting Author: FERUZGAFUROVICH NAZIROV Additional Authors: ANDREYVASILEVICH DEVYATOV, AZAMHASANOVICH BABADJANOV Corresponding Author: FERUZGAFUROVICH NAZIROV Affiliations: Republican Specialized Center of Surgery named after acad. V.Vahidov Objective: Achieved check details over the last decade, the results of portosystemic shunt (PSSh) helped identify opportunities for integral risk assessment of its implementation and the development of specific complications. The study included 387 patients with liver cirrhosis (LC), which imposed a PSSh from 2000 to 2010. Selective shunts imposed in 204 patients, central – 183. Methods: The program is based of 24 factors that were divided into three groups: anthropometric data, clinical and instrumental data; angioarchitectonics and hemodynamics in the portal vein.