Feneyrou B, Prioton J B
Service de Chirugie viscérale, Hôpital Lapeyronie, Montpellier.
Presse Med. 1987 Dec 19;16(44):2226-7.
Haemorrhage due to gastric varices raise a problem of surgical tactics. We performed subtotal gastric devascularization, respecting only the pyloric vessels, in 4 cirrhotic patients whose varices of the gastric fundus had ruptured. This technique, which is an extension of proximal oesophageal devascularization for oesophageal varices, may be necessary to control bleeding and seems to be effective in preventing recurrent hemorrhages.
胃静脉曲张出血引发了手术策略的问题。我们对4例胃底静脉曲张破裂的肝硬化患者实施了仅保留幽门血管的胃次全去血管术。这项技术是用于食管静脉曲张的近端食管去血管术的扩展,对于控制出血可能是必要的,而且似乎在预防复发性出血方面有效。