Johnston G W
Br Med J. 1978 May 27;1(6124):1388-91. doi: 10.1136/bmj.1.6124.1388.
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.
30例食管静脉曲张出血患者使用SPTU枪进行了食管横断术治疗。所有患者均禁忌任何形式的分流术。12例手术在出血后36小时内作为紧急手术进行。总手术死亡率为10%，随访期间有2例晚期死亡，随访时间迄今从2个月延长至2年。3例患者出现复发出血，其中2例残留静脉曲张可能是出血源。无门体性脑病病例。虽然随访时间太短，无法得出任何明确结论，但这些早期结果表明，对于大部分不适合注射硬化疗法、分流手术或保守治疗的患者，使用SPTU枪进行食管横断术可能是有效的。
