Passariello R, Thau A, Rossi P, Lombardi M, Simonetti G, Stipa S
Surg Gynecol Obstet. 1980 Feb;150(2):155-60.
We used the transhepatic approach to the portal system to obliterate bleeding gastroesophageal varices as an alternative to portosystemic shunt performed as an emergency. In eight of 13 patients, we obtained complete arrest of bleeding, while rebleeding was observed in five patients. The shunt was performed upon six patients, and only one patient died. Transhepatic obliteration of varices seems to be the more useful method for the control of untractable hemorrhage and to prepare the patient for an elective operation.
我们采用经肝门静脉系统途径来消除胃食管静脉曲张出血，以此作为紧急情况下门体分流术的替代方法。在13例患者中的8例，我们成功实现了出血完全停止，而另外5例患者出现了再出血。对6例患者实施了分流术，仅有1例患者死亡。经肝静脉曲张闭塞术似乎是控制难治性出血以及为择期手术准备患者的更有用方法。
