Schröder R, Lentze M J, Kraemer R
Schweiz Med Wochenschr. 1985 Jun 15;115(24):828-31.
Patients with cystic fibrosis involving the liver may develop esophageal varices with the risk of major bleeding. As the pulmonary disease is progressive, treatment of the varices should achieve definite protection from bleeding by portal decompression. In three 17-18 year-olds splenectomy with splenorenal anastomosis was carried out without mortality or relevant morbidity. Two patients had had previous episodes of bleeding. The patients were followed up for 15, 15 and 42 months respectively. The varices disappeared or regressed in size, and no bleeding or side effects of the shunt were observed.
患有累及肝脏的囊性纤维化的患者可能会出现食管静脉曲张，并有大出血的风险。由于肺部疾病呈进行性发展，静脉曲张的治疗应通过门静脉减压实现对出血的明确预防。对3名17 - 18岁的患者实施了脾肾吻合脾切除术，无死亡或相关并发症发生。两名患者既往有出血史。分别对这些患者进行了15个月、15个月和42个月的随访。静脉曲张消失或尺寸缩小，未观察到出血或分流的副作用。
