Objective To evaluate long-term therapeutic effect of esophagogastric devascularization without splenectomy in treatment of portal hypertension with esophagogastric varices hemorrhage.
Methods The patients who took esophagogastric devascularization without splenectomy from 2008 to 2013 were followed-up in clinic or through phone. The remission of esophagogastric varices, rebleeding, survival and long-term postoperative complications were observed.
Results A total of 32 patients were taken esophagogastric devascularization without splenectomy in Peking University People's Hospital from 2008 to 2013. One patient died during the perioperative period. Twenty-three patients were followed-up for 10-81 months with an average 45.5 months, of whom 7 patients had rebleeding, 5 patients died, 3 patients had new onset portal vein thrombosis, 2 patients had esophageal anastomotic strictures.
Conclusion Esophagogastric devascularization without splenectomy is an effective method in treatment of portal hypertension with esophagogastric varices hemorrhage in selected patients.
Citation：
WANGDong, NIYan-bin, ZHUJi-ye, LENGXi-sheng. Long-Term Therapeutic Effect of Esophagogastric Devascularization Without Splenectomy in Treatment of Portal Hypertension with Esophagogastric Varices Hemorrhage. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(11): 1302-1304. doi: 10.7507/1007-9424.20150341
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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Orozco H, Mercado MA, Martinez R, et al. Is splenectomy necessary in devascularization procedures for treatment of bleeding portal hypertension? Arch Surg, 1998, 133(1):36-38.
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Ni YB, Pengji G, Dong W, et al. Esophagogastric devascularization without splenectomy in portal hypertension:safe and effective? Hepatobiliary Pancreat Dis Int, 2015, 14(3):14(3):276-280.
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Zhang Y, Wen TF, Yan LN, et al. Preoperative predictors of portal vein thrombosis after splenectomy with periesophagogastric devascularization. World J Gastroenterol, 2012, 18(15):1834-1839.
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魏小栋, 夏军, 罗彬, 等.食管胃器械吻合术后吻合口狭窄的原因及预防.临床外科杂志, 2012, 20(2):118-119.
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- 1. 王东, 栗光明, 朱继业, 等.保脾断流术治疗门静脉高压症上消化道出血的疗效分析.中国普外基础与临床杂志, 2013, 20(1):29-32.
- 2. 朱继业, 倪彦彬.保脾断流术治疗门静脉高压症.中华消化外科杂志, 2013, 12(11):820-822.
- 3. Garcia-Tsao G, Sanyal AJ, Grace ND, et al. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Hepatology, 2007, 46(3):922-938.
- 4. 卫生和计划生育委员会公益性行业科研专项专家组.门静脉高压症食管胃曲张静脉破裂出血治疗技术规范专家共识(2013版).中华消化外科杂志, 2014, 13(6):401-404.
- 5. 周光文.肝移植时代门静脉高压症外科手术方式的选择.中国普外基础与临床杂志, 2013, 20(1):10-12.
- 6. 王明, 文天夫, 严律南, 等.肝硬变肝功Child A级患者行肝移植或脾切除门奇断流术的疗效比较.中国普外基础与临床杂志, 2013, 20(1):18-23.
- 7. 卫生和计划生育委员会公益性行业科研专项专家组.贲门周围血管离断术技术规范专家共识(2013版).中华消化外科杂志, 2014, 13(1):19-21.
- 8. 冷希圣.门静脉高压症治疗的现状与展望.中国普外基础与临床杂志, 2013, 20(1):1-3.
- 9. Orozco H, Mercado MA, Martinez R, et al. Is splenectomy necessary in devascularization procedures for treatment of bleeding portal hypertension? Arch Surg, 1998, 133(1):36-38.
- 10. Ni YB, Pengji G, Dong W, et al. Esophagogastric devascularization without splenectomy in portal hypertension:safe and effective? Hepatobiliary Pancreat Dis Int, 2015, 14(3):14(3):276-280.
- 11. Zhang Y, Wen TF, Yan LN, et al. Preoperative predictors of portal vein thrombosis after splenectomy with periesophagogastric devascularization. World J Gastroenterol, 2012, 18(15):1834-1839.
- 12. 魏小栋, 夏军, 罗彬, 等.食管胃器械吻合术后吻合口狭窄的原因及预防.临床外科杂志, 2012, 20(2):118-119.
