Siewert R, Becker H D
Chirurg. 1979 Feb;50(2):82-6.
In patients with bleeding esophageal varices the main purpose of the treatment is to stop the bleeding at a justifiable risk. The so-called blocking procedures reach this purpose most consistently. We report the results on transmural variceal ligation plus fundoplication in 16 patients in whom the bleeding esophageal varices were not stopped by conservative means. 75% of these patients belonged to group B and C in Child's classification. Postoperative lethality was 18,7%, in all cases bleeding was stopped. These results favour trasmural varices ligation as an emergency procedure in bleeding esophageal varices.
对于食管静脉曲张出血患者,治疗的主要目的是以合理的风险止血。所谓的阻断术最能始终如一地达到这一目的。我们报告了16例经保守治疗食管静脉曲张出血仍未停止的患者行跨壁静脉曲张结扎术加胃底折叠术的结果。这些患者中75%属于Child分级的B组和C组。术后死亡率为18.7%,所有病例出血均停止。这些结果支持将跨壁静脉曲张结扎术作为食管静脉曲张出血的紧急治疗方法。