Effects of different treatment complex on esophageal vascular structures in patients with portal hypertension.
- Author:
Bo LIU
1
;
Nan LIN
;
Mei-hai DENG
;
Rui-yun XU
;
Xun-yang LIU
;
Fei-zhou HUANG
;
Rui-zhen LI
Author Information
- Publication Type:Journal Article
- MeSH: Cardia; blood supply; surgery; Combined Modality Therapy; Embolization, Therapeutic; Endoscopy, Digestive System; Esophageal and Gastric Varices; diagnostic imaging; etiology; therapy; Female; Humans; Hypertension, Portal; complications; Ligation; methods; Male; Middle Aged; Retrospective Studies; Splenectomy; Treatment Outcome; Ultrasonography; Vascular Surgical Procedures; methods
- From: Chinese Journal of Surgery 2006;44(7):450-453
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo assess the effects of different treatment complex on esophageal vascular structures in patients with portal hypertension.
METHODSPatients (142 cases) with esophageal varices received either endoscopic variceal ligation (EVL) alone (54 cases), pericardial devascularization procedure (PDP) alone (23 cases), a combination of EVL and partial splenic embolization (PSE) (34 cases), or a combination of EVL and PDP (31 cases) for variceal eradication. Esophageal vascular structures were examined with miniature ultrasonic probe. The recurrence and rebleeding of esophageal varices were investigated.
RESULTSEsophageal submucous varices were obliterated and collateral veins remained unchanged in patients treated by EVL or EVL combined with PSE; esophageal submucous varices were diminished in size and collateral veins were obliterated by PDP, and both esophageal submucous varices and collateral veins were obliterated by the combination of EVL and PDP.
CONCLUSIONSThe combination of EVL and Hassab's procedure can effectively shut off the portoazygous shunt, prevent esophageal varices from bleeding and recurrence. It's a simply and less cost procedure.
