Saku M, Börjesson B, Olin T, Bengmark S
Eur Surg Res. 1976;8(2):166-73. doi: 10.1159/000127858.
An attempt to induce portal hypertension using Ameroid constrictors and shunt operations is described. 1 week after the application of the Ameroid constrictor around the portal trunk, it was completely occluded and portal venous pressure was elevated to a level about twice of normal range. Angiographically, splenorenal collaterals and collaterals overbridging the Ameroid constrictor were observed in all examined rats. However, esophageal varices could not be found in any rat. In the second series of the experiment, an end-to-side cavoportal shunt was created before the application of the Ameroid constrictor. This operation model was devised to increase the portal venous flow. At the same time this operation should inhibit the development of splenorenal collaterals and as expected collaterals to the superior vena cava system developed instead. However, they were not located in the esophageal wall but retroperitoneally.
本文描述了使用阿梅罗德缩窄器诱导门静脉高压并进行分流手术的尝试。在门静脉主干周围应用阿梅罗德缩窄器1周后,门静脉完全闭塞,门静脉压力升高至正常范围的两倍左右。血管造影显示,所有受试大鼠均观察到脾肾侧支循环以及跨越阿梅罗德缩窄器的侧支循环。然而,未在任何大鼠中发现食管静脉曲张。在第二组实验中,在应用阿梅罗德缩窄器之前进行了端侧腔门静脉分流术。设计该手术模型是为了增加门静脉血流。同时,该手术应抑制脾肾侧支循环的发展,并且如预期的那样,取而代之的是形成了至上腔静脉系统的侧支循环。然而,它们并非位于食管壁,而是位于腹膜后。