Millikan W J, Henderson J M, Galloway J R, Dodson T F, Shires G T, Stewart M
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Am J Surg. 1990 Jul;160(1):117-21. doi: 10.1016/s0002-9610(05)80880-3.
Bleeding from gastroesophageal varices remains the most devastating complication of the portal hypertensive syndrome. Endoscopic sclerotherapy has emerged as the best initial treatment for bleeding varices because surgery is obviated and survival may be improved. However, sclerotherapy will fail and surgical rescue will be required in at least a third of patients. There are two viable surgical rescue procedures: shunt surgery and liver transplantation. This paper summarizes the available data and concludes that there is a role for both procedures.
胃食管静脉曲张出血仍然是门静脉高压综合征最具毁灭性的并发症。内镜硬化疗法已成为治疗静脉曲张出血的最佳初始治疗方法，因为它避免了手术，且可能提高生存率。然而，硬化疗法会失败，至少三分之一的患者需要手术挽救。有两种可行的手术挽救方法：分流手术和肝移植。本文总结了现有数据，并得出结论，这两种方法都有其作用。
