使用SPTU枪进行食管横断术治疗静脉曲张出血
Treatment of bleeding varices by oesophageal transection with the SPTU gun.
作者信息
Johnston G W
出版信息
Ann R Coll Surg Engl. 1977 Sep;59(5):404-8.
Abstract
This paper presents the preliminary results with the SPTU stapling gun for oesophageal transection in the treatment of bleeding oesophageal varices. Porta-systemic shunt was contraindicated in all 12 patients treated, 10 of whom had cirrhosis. Anastomotic leakage and recurrent bleeding were not problems, but stricture formation was, 4 of the 11 survivors requiring dilatation. The average period of follow-up is only 7 months, but early results encourage further trial of the method for the increasing numbers of 'shunt rejects'.
摘要
本文介绍了使用SPTU吻合器进行食管横断术治疗食管静脉曲张出血的初步结果。在接受治疗的所有12例患者中，均禁忌进行门体分流术，其中10例患有肝硬化。吻合口漏和再出血不是问题，但狭窄形成是个问题，11名幸存者中有4人需要扩张治疗。平均随访期仅7个月，但早期结果鼓励对越来越多的“分流禁忌者”进一步试用该方法。
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