Esophagofundostomy combined with pericardial devascularization for the treatment of esophagogastric variceal bleeding
10.3760/cma.j.cn113855-20200816-00640
- VernacularTitle:食管胃底吻合联合贲门周围血管离断术治疗门静脉高压症上消化道出血的疗效分析
- Author:
Zhiyong WANG
;
Xingkai MENG
;
Wanxiang WANG
;
Jianjun REN
;
Maochun WANG
;
Yibo CHEN
;
Junjing ZHANG
- From:
Chinese Journal of General Surgery
2021;36(5):355-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of esophagofundostomy combined with pericardial devascularization in the treatment of upper gastrointestinal hemorrhage caused by portal hypertension.Methods:The clinical data of 108 patients with portal hypertension admitted to the Affiliated Hospital of Inner Mongolia Medical University from Feb 2009 to Feb 2015 were analyzed. Among them 42 patients underwent esophagofundostomy combined with pericardial devascularization as the study group, and 66 patients underwent pericardial devascularization only as the control group. All patients presented with splenomegaly or hypersplenism; the spleen was routinely removed during the operation.Results:The difference of operation time between the study group and the control group was statistically significant [(157±41) min vs. (143±27) min, t=2.81, P<0.05]. The improvement in the esophagogastric varices in the study group within 6 months was significantly better than that in the control group( Z=2.47, P<0.05). In addition, the rebleeding rates of varicose veins within 1, 3 and 5 years in the study group was 2%, 5% and 10%, while that in the control group was 15%, 21% and 26% (χ 2=5.49, 4.27, 4.31, all P<0.05). Conclusions:Esophagofundostomy combined with pericardia devascularization achieves complete devascularization and low rebleeding rate.
