Abstract:Objective:To explore the method of treatment for cirrhosis associated portal hypertension and hepatogenic diabetes.
Methods :The clinical data of 46 cases of cirrhosis with portal hypertension and hepatogenic diabetes treated in recent 10-year period were retrospectively analyzed.
Results:All the patients received operative treatment after basic nutritional support and adjunctive insulin therapy. Surgical intervention included portoazygos veins devascularization procedure in 39 cases,and devascularization combined with splenorenal shunt in 7 cases. Results showed that the hepatogenic diabetes improved in 39 cases(84.8%).
Conclusions:Patients with cirrhosis and hepatogenic diabetes should have treatment directed to the primary disease and mainly to aggressively improve live function, and additionally treat the abnormal glucose metabolism.