Passariello R, Rossi P, Simonetti G, Ciolina A, Rovighi L
Cardiovasc Radiol. 1979 Apr 27;2(2):97-106. doi: 10.1007/BF02575369.
Transhepatic obliteration of gastroesophageal varices was performed in 18 actively bleeding patients. The success of the procedure was related to the complete obliteration of the varices, as demonstrated by their disappearance at angiography. In 13 of the 14 patients in whom obliteration was complete, bleeding did not recur. Three of the 13 died of hepatic insufficiency within 18 days of embolization, and three refused surgery and were lost to follow-up. The remaining seven patients had portacaval or mesocaval shunts, and are doing well at a follow-up of 12 months. Transhepatic obliteration has, therefore, proved to be an effective emergency procedure in patients who will be acceptable surgical candidates at a later date.
对18例急性出血患者实施了经肝食管胃静脉曲张闭塞术。该手术的成功与静脉曲张的完全闭塞有关，血管造影显示静脉曲张消失即可证明。在14例闭塞完全的患者中，有13例出血未复发。13例中有3例在栓塞后18天内死于肝功能不全，3例拒绝手术且失访。其余7例患者接受了门腔或肠系膜上腔静脉分流术，在12个月的随访中情况良好。因此，经肝闭塞术已被证明是一种有效的紧急手术，适用于日后可接受手术治疗的患者。
