Gastroesophageal devascularization for the treatment of cirrhotic portal hypertension

VernacularTitle:贲门周围血管断流术治疗肝硬化门静脉高压症
Author: Zhengfeng WANG ; Guangwen ZHOU
Publication Type:Journal Article
Keywords: Hypertension,portal; Liver cirrhosis; Esophageal and gastric varices; Devascularization
From: Chinese Journal of General Surgery 2012;27(9):710-712
CountryChina
Language:Chinese
Abstract: ObjectiveTo evaluate the therapeutic effect of gastroesophageal devasculariztion on cirrhotic portal hypertensive bleeding.MethodsClinical data of 85 cirrhotic patients with portal hypertentsive bleeding undergoing gastroesophageal devascularization were retrospectively analyzed. Results The following-up rate was 78％. The 1-yr,3-yr and 5-yr survival rate was 95％, 88％and 82％respectively.There was significant difference in survival time after devascularization between patients of Child-Pugh A and Child-Pugh B.For the whole group the 1-yr,3-yr and 5-yr recurrent bleeding rate was 6％,16％ and 28％ and postoperative hepatic encephalopathy was 7％.ALT,AST and ALB recovered to pre-operative level on post-operative day 7.ConclusionsGastroesophageal devascularization was an effective therapy in treating portal hypertensive variceal bleeding.Liver function remains a significant factor influencing long term survival.