Peracchia A, Morosini S, Roncoroni L
Ateneo Parmense Acta Biomed. 1976 Jul-Aug;47(4):397-409.
Ligation of the oesophagus on a Vossschulte prosthesis provides interruption of the venous back-flow in gastro-oesophageal wall occurring in portal hypertension, and therefore renders more effective the disconnection techniques used for oesophageal varices when liver function is too severely impaired to permit a portal-systemic shunt. According the literature and their own initial experience, the Authors stresse the possibilities of the method in controlling active haemorrhage and preventing further bleeding, and discusse its possible complications, represented by portal thrombosis, fistulae and oesophageal stenosis. Unlike shunts, this procedure does not give rise to any worsening in hepatic function, but should nevertheless seriously considered especially if the oesophago-gastric junction is radically isolated.
在Vossschulte假体上结扎食管可中断门静脉高压时胃食管壁内的静脉回流，因此当肝功能严重受损而无法进行门体分流时，能使用于治疗食管静脉曲张的断流技术更有效。根据文献及他们自己的初步经验，作者强调了该方法在控制活动性出血和预防再次出血方面的可能性，并讨论了其可能的并发症，如门静脉血栓形成、瘘管和食管狭窄。与分流术不同，该手术不会导致肝功能恶化，但仍应认真考虑，尤其是在食管胃交界部被彻底分离的情况下。
