Keith R G, Mustard R A, Saibil E A
Can J Surg. 1982 May;25(3):301-4.
Nine patients with gastric varices secondary to occlusion of the splenic vein, which resulted from pancreatic disease, were treated by the authors between 1973 and 1981. Profuse hemorrhage, recurrent bleeding and hypochromic anemia were investigated by endoscopy, gastrointestinal roentgenography and selective angiography. Pancreatic disease was defined by ultrasonography, endoscopic retrograde pancreatography and operation. There were three cases of chronic pancreatitis, three of pancreatic abscess, two of pseudocyst and one of carcinoma of the pancreas. Definitive control of upper gastrointestinal bleeding from gastric varices was achieved by combining splenectomy with selective pancreatic surgical procedures. Two patients did not undergo operation. One death resulted from an unresectable carcinoma. Bleeding did not recur in six patients followed for up to 8 years after operation.
1973年至1981年间，作者对9例因胰腺疾病导致脾静脉闭塞继发胃静脉曲张的患者进行了治疗。通过内镜检查、胃肠X线造影和选择性血管造影对大出血、复发性出血和低色素性贫血进行了研究。通过超声检查、内镜逆行胰胆管造影和手术对胰腺疾病进行了诊断。其中慢性胰腺炎3例，胰腺脓肿3例，假性囊肿2例，胰腺癌1例。通过脾切除术与选择性胰腺手术相结合，成功地控制了胃静脉曲张引起的上消化道出血。2例患者未接受手术。1例患者死于无法切除的癌症。6例患者术后随访长达8年，出血未复发。
