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[The different influences of splenectomy plus ligation of pericardial vein and shunt on portal hypertensive gastropathy].

A prospective and controlled study has been made to probe into the different influences of splenectomy plus ligation of pericardial vein (SPLPY) and shunt on portal hypertensive gastropathy (PHG). 26 patients with cirrhosis of liver and portal hypertension admitted from January 1994 to April 1996 were randomized into two groups. One group was treated with SPLPV (15 cases), and the other shunt (11 cases). Gastroscopy was made in all patients pre- and postoperatively to observe the changes of gastric mucosa. It has been shown that SPLPV exacerbate PHG (P < 0.05) and the shunt has an opposite effect (P < 0.05). We consider that it is necessary to modify SPLPV and reevaluate the clinical effects of the both.