Simplified oesophageal transection for bleeding varices.
作者信息
Johnston G W
出版信息
Br Med J. 1978 May 27;1(6124):1388-91. doi: 10.1136/bmj.1.6124.1388.
Abstract
Thirty patients with bleeding oesophageal varices were treated by oesophageal transection using the SPTU gun. Any form of shunt was contraindicated in all the patients. Twelve operations were done as urgent procedures within 36 hours of haemorrhage. The overall operative mortality rate was 10%, and there were two late deaths during follow-up, which has so far extended from two months to two years. Three of the patients had recurrent bleeding, and residual varices were probably the source in two. There were no cases of portal systemic encephalopathy. Although the follow-up is too short to allow any definite conclusions, these early results suggest that oesophageal transection with the SPTU gun may be useful in the large proportion of patients in whom injection sclerotherapy, shunt surgery, or conservative treatment is inappropriate.
摘要
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Simplified oesophageal transection for bleeding varices.
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本文引用的文献
1
The Problem of Portal Hypertension in Relation to the Hepatosplenopathies.与肝脾疾病相关的门静脉高压问题
Ann Surg. 1945 Oct;122(4):449-75. doi: 10.1097/00000658-194510000-00001.
2
[Surgery of esophagus varices bleeding in liver cirrhosis and in Banti's syndrome].
Ned Tijdschr Geneeskd. 1949 Dec 10;93(50):4174-82, 2 pl.
3
Transesophageal ligation of bleeding esophageal varices, a preliminary report of 7 cases.经食管结扎术治疗食管静脉曲张破裂出血：7例初步报告
AMA Arch Surg. 1950 Oct;61(4):654-60. doi: 10.1001/archsurg.1950.01250020660005.
4
Selective trans-splenic decompression of gastroesophageal varices by distal splenorenal shunt.经远端脾肾分流术对胃食管静脉曲张进行选择性经脾减压
Ann Surg. 1967 Sep;166(3):437-55. doi: 10.1097/00000658-196709000-00011.
5
The results obtained with emergency surgery in the treatment of persistent haemorrhage from gastro-oesophageal varices in the cirrhotic patient.肝硬化患者胃食管静脉曲张持续出血的急诊手术治疗结果。
Br J Surg. 1971 Mar;58(3):205-15. doi: 10.1002/bjs.1800580314.
6
Emergency portacaval shunt: a comparative study of shunt, varix ligation and nonsurgical treatment of bleeding esophageal varices in unselected patients with cirrhosis.急诊门腔分流术：对未经选择的肝硬化患者出血性食管静脉曲张进行分流术、曲张静脉结扎术及非手术治疗的对比研究
Ann Surg. 1967 Sep;166(3):456-78. doi: 10.1097/00000658-196709000-00012.
7
Transabdominal ligation-resection of the esophagus in cases of bleeding esophageal varices.经腹食管结扎切除术治疗食管静脉曲张出血病例
Surgery. 1970 Mar;67(3):409-13.
8
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Ann Chir. 1973 Mar;27(3):343-9.
9
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Arch Surg. 1974 Nov;109(5):688-92. doi: 10.1001/archsurg.1974.01360050082018.
10
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Br J Surg. 1973 Oct;60(10):797-800. doi: 10.1002/bjs.1800601011.
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