Operation for postoperative re-hemorrhage after splenectomy with periesoph-agogastric devascularization for advanced schistosomiasis
- VernacularTitle:晚期血吸虫病脾切除加周围血管离断术后再出血的手术治疗
- Author:
Qingshan WANG
;
Jiafeng WANG
;
Guangyan ZHANG
- Publication Type:Journal Article
- Keywords:
Advanced schistosomiasis;
Portal vein hypertension;
Postoperative re-hemorrhage;
Efficacy
- From:
Chinese Journal of Schistosomiasis Control
2014;(1):101-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of the operation in the treatment of postoperative re-hemorrhage after splenec-tomy with periesophagogastric devascularization for advanced schistosomiasis. Methods Forty-three re-hemorrhage patients,who received varicose ligation combined with pericardial devascularization through left thoracic cavity with esophageal incision from Oc-tober 2002 to October 2011,after splenectomy with periesophagogastric devascularization due to portal vein hypertension,were in-vestigated retrospectively and followed up for 1 to 9 years. Results Forty-three re-hemorrhage patients operated included 27 cas-es of selective operation and 16 cases of emergency operation. The mean follow-up time was 6.8 years. The hemostasis rate was 100%. 0ne died after the operation because of engaging in heavy labor,two had melena and were completely relived with the con-servative treatment,and all the rest had a good recovery. Conclusion The operation of varicose ligation combined with pericardi-al devascularization through left thoracic cavity with esophageal incision in the treatment of postoperative re-hemorrhage after sple-nectomy with periesophagogastric devascularization for advanced schistosomiasis has a satisfied efficacy.
