Therapeutic effect of excision of hypomere esophagus and proximal stomach on portal hypertension and upper gastrointestinal bleeding.
- Author:
Wei-sheng GAO
1
;
Hong-feng LIU
;
Xiao-yi LI
;
Yue-wu LIU
;
Ge YIN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Esophagectomy; methods; Female; Gastrectomy; methods; Gastrointestinal Hemorrhage; etiology; surgery; Humans; Hypertension, Portal; complications; Male; Middle Aged; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2006;44(19):1330-1332
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze the therapeutic effect of excision of hypomere esophagus and proximal stomach (Phemister operation) on portal hypertension and upper gastrointestinal bleeding.
METHODSRetrospectively analyze the clinical data of 136 cases treated with the Phemister operation for portal hypertension and upper gastrointestinal bleeding from August 1999 to May 2005.
RESULTSVarication of the patients improved markedly, 50.8% of the varication disappeared completely, incidence of complications was 5.0%, rebleeding rate was 4.4%, mortality rate was 0.7%.
CONCLUSIONSThe Phemister operation could treat the upper gastrointestinal bleeding and prevent rebleeding effectively in portal hypertension, it is a radical, precise and secure disconnection for portal hypertension with varication in fundus of stomach and esophagus.
