Transabdominal paraesophagogastric devascularization plus esophageal transection for variceal bleeding of esophagus and gastric fundus
- VernacularTitle:贲门周围血管离断联合食管横断治疗食管胃底静脉曲张出血的疗效
- Author:
Jian ZHANG
;
Xinmin ZHANG
- Publication Type:Journal Article
- Keywords:
portal hypertension;
variceal bleeding;
devascularization;
esophageal transection;
stapler
- From:Journal of Third Military Medical University
2003;0(15):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effect of transabdominal paraesophagogastric devascularization plus esophageal transection for variceal bleeding.Methods From October 2002 to October 2006,26 patients of portal hypertension received the treatment in our hospital.Their clinical data were retrospectively analyzed.Results In the 26 cases,2 received emergency operation and 24 selective operation.After operation,no recurrent bleeding or hepatic encephalopathy took place in short term.The long-term follow-up was performed in 16 cases,of which recurrent bleeding rate was 3.84% in 1-3 years and liver function was improved to various degree.Conclusion The curative effect in near future of this operation is satisfactory.This operation is an effective method to treat variceal bleeding of oesophageal fundus and stomach in portal vein hyperbarism.
