Passariello R, Rossi P, Simonetti G, Ciolina A, Crecco M
Radiol Med. 1979 Jan-Feb;65(1-2):47-56.
The hemorrage following gastro-esophageal varices cause a high degree of mortality. Personal experience is presented consisting in 15 patients suffering from cirrosis with inoperable hemorrages. These patients underwent transhepatic emergency obliteration of the varices. The hemorrage stopped in 10 patients, 6 of whom later on underwent surgical treatment with porto-systemical anastomosis. In 5 patients the hemorrage reappeared at various intervals from the procedure. Owing to the possible recanalization of the obliterated varices the procedure should be considered essentially as a preoperative management.
胃食管静脉曲张出血导致的死亡率很高。本文介绍了15例患有肝硬化且有无法手术治疗的出血患者的个人经验。这些患者接受了经肝门急诊静脉曲张闭塞术。10例患者出血停止,其中6例随后接受了门体系统吻合术的手术治疗。5例患者在手术后不同时间再次出血。由于闭塞的静脉曲张可能再通,该手术应主要视为术前处理。