TREATMENT OF BLEEDING ESPHAGEAL VARICES BY PERICARDIAL DEVAS- CULARIZATION, CARDIAC TRANSECTION, AND STAPLING ANASTOMOSIS
- VernacularTitle:改进食管曲张静脉破裂的手术疗法的初步报告
- Author:
Benmao WANG
- Publication Type:Journal Article
- Keywords:
esophageal varices hemorrhage compained devasculariation procedure surgery, operative
- From:
Academic Journal of Second Military Medical University
1981;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
The choice of operation in the surgical management of ruptured esophageal varices has been the center of the most enduring controversies in theory and practice. We introduced a t chnique of splenectomy, pericardial devascularization, vagotomy, cardi-ac transection and anastomosis with a circular stapling instrument, and pyloroplasty as a definitive treatment for bleeding esophageal varices both electiv ly and as an emer gency procedure in a total of 11 cases, between December 1982 and October 1984.Re- currence of bleeding and portal systemic enccphalopathy has not been detected in any of these 9 living cases over a follow up period of 1-24 months(average 14.1 months). Esophageal varices were either disappeared or improved as demonstrated by repeated-barium examinations.The merits and demerits of this technique are discussed.Although thsresults obtained are encouraging,definite conclusion can only be reached by further accumulation of clinical experience.
