Experience of Transabdominal Gastroesophageal Stapling in Management of Variceal Bleeding in Portal Hypertension(Report of 48 cases)
- VernacularTitle:门奇断流并食管下段横断术治疗门静脉高压临床研究
- Author:
Weimin SHEN
;
Guanghua FENG
;
Zhong JIA
- Publication Type:Journal Article
- Keywords:
Portal hypertension;
Oesophageal transection;
Staple gun anastomosis
- From:
Journal of Medical Research
2006;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of transabdominal gastroesophageal stapling in management of variceal bleeding in portal hypertension with Hassabi operation and sum up our clinical experience.Methods Retrospective analysis of 48 cases with portal hypertension operated by transabdominal gastroesophageal stapling between May,1998 and Oct.2005.The elimination of oesophagus venous、the rebleeding rate、the operation mortality、the stricture and the fistula rate and the index that influences the liver function were maily observed.Results No case suffered rebleeding and hepatal encephalopathy during the hospitaligation of the patients.Esophageal varices disappeared or reduced in all cases.One case resulted from stricture and one case died of multiple organ failure.Conclusions Transabdominal extensive oesophagogastric devascularization combined with gastrooesophageal stapling is an effective and safe procedure for control of acute variceal haemorrhage with satisfactory short-term control,but the long-term effect needs to be long follow-up for the patients.
