Operation performed on the shortterm after stop of gastroesophageal variceal bleeding in patients with portal hypertension
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R571.3; R722.152

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    Abstract:

    Objective:To investigate the feasibility and effect of the operation performed on the shortterm after stop of esophageal variceal bleeding(EVB) in patients with portal hypertension. Methods:The clinical data of fifty two cases of EVB undewent pericardiac devascularization (PCDV) operation or combination of PCDV and shunt operation (combined operation) 12 weeks after the EVB stopped were analysed. Results:After operation, the portal pressure in combined operation group and PCDV group was (9.3±2.25)cmH2O and(3.65±1.52)cmH2O respectively. The operative mortality was 5.8% (3/52) and the mobidity was 44.2%(23/52)in this series. No rebleeding occurred in combined operation group,but recurrent bleeding developed in 2 cases in PCDV group during the early postoperative period. The incidence of rebleeding was 5.6% in combined operation group and 20.0% in PCDV group in long followup period. Postoperative encephalopathy occured in 2 cases in combined operation group and 1 case in PCDV group. Conclusions:For the patients with portal hypertension complicated with EVB,surgical therapy 12 weeks after stop of EVB might be a safe and feasible method. Combined operation should be performed on the younger patients with higher portal pressure(>35cmH2O) and the liver function belongs to Child A or B grade;however, if the patient with hepatic function of Child C grade,the first choice of surgical procedure is PCDV.

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HE Xianli, MA Qingjiu, GAO Deming, LU Jianguo, CHU Yankui, DU Xilin, QIAO Qing.Operation performed on the shortterm after stop of gastroesophageal variceal bleeding in patients with portal hypertension[J]. Chin J Gen Surg,2004,13(1):13-43.
DOI:10.7659/j. issn.1005-6947.2004.01.013

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History
  • Received:January 01,1900
  • Revised:January 01,1900
  • Adopted:
  • Online: January 25,2004
  • Published: