Romero-Torres R
World J Surg. 1989 May-Jun;13(3):313-5; discussion 315-6. doi: 10.1007/BF01659042.
Portal azygos disconnection, using vein ligatures and a circumferential hemostatic suture of the gastric wall at the level of the upper pole, is a simple and a rapid technique that effectively controls bleeding from esophagogastric varices. Its low mortality rate in emergency cases or poor-risk patients can be of great benefit to patients who have not responded to conservative therapy, including tamponade and vein sclerosis. In this article, we conclude that the long-term results of this operation demonstrate that it can also be used in elective cases, especially in patients with Child's "C" classification. These patients with advanced cirrhosis have a very low survival rate (no more than 5 years) yet they can benefit from this portal disconnection since this procedure does not alter the portal hemodynamics and, consequently, does not induce chronic encephalopathy.
门静脉奇静脉断流术，采用静脉结扎并在上极水平对胃壁进行环形止血缝合，是一种简单快速的技术，能有效控制食管胃静脉曲张出血。在急诊病例或高危患者中其低死亡率，对于对包括压迫止血和静脉硬化在内的保守治疗无反应的患者可能大有裨益。在本文中，我们得出结论，该手术的长期结果表明它也可用于择期病例，尤其是Child's “C”级分类的患者。这些晚期肝硬化患者生存率极低（不超过5年），但他们可从这种门静脉断流术中获益，因为该手术不会改变门静脉血流动力学，因此不会诱发慢性脑病。
