Johnston G W
Ann R Coll Surg Engl. 1981 Jan;63(1):3-8.
It is noted that the majority of patients with bleeding oesophageal varices are not suitable for portal-systemic shunting operations. In addition the high incidence of post-shunt encephalopathy has encouraged the use of a direct attack on the varices. The results of injection sclerotherapy in 170 patients and oesophageal transection in 60 patients demonstrate acceptable control of bleeding without precipitation of encephalopathy.
值得注意的是,大多数食管静脉曲张出血患者不适合进行门体分流手术。此外,分流术后脑病的高发病率促使人们直接对静脉曲张进行治疗。对170例患者进行注射硬化疗法和对60例患者进行食管横断术的结果表明,出血得到了可接受的控制,且未引发脑病。