A combination splenectomy and endoscopic varices ligation in comparison with Hassab procedure in the treatment of portal hypertension
- VernacularTitle:脾切除联合内镜曲张静脉套扎术与Hassab术的对比研究
- Author:
Bo LIU
;
Nan LIN
;
Ruiyun XU
;
Meihai DENG
;
Yunbiao LING
;
Weidong PAN
;
Heping FANG
- Publication Type:Journal Article
- Keywords:
Hypertension, portal;
Splenectomy;
Esophageal and gastric varices;
Endoscopy
- From:
Chinese Journal of General Surgery
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of combination splenectomy and endoscopic varices ligation in comparison with Hassab procedure in the treatment of portal hypertension. A prospective, controlled study was carried out on Splenectomy with EVL in comparision with portoazygous disconnection--the Hassab procedure to assess whether SEVL can achieve better results in the treatment of portal hypertension. Methods From Jan 1999 to June 2002, 103 cirrhotic patients with portal hypertension were admitted. These patients were randomized into two groups. Group A were treated by splenectomy combined with EVL(53 cases) , and group B were treated with Hassab procedure(50 cases). Results In both groups, there was a significant postoperative decrease in free portal pressure, the velocity and volume of portal flow (all P0.05). Portal vein thrombosis developed in 7 cases (13%) in group A, and in 14 cases (28%) in group B, P
