Yassin Y M, Eita M S, el-Mirghani M
Gastroenterology Unit, Kobri-El-Kobba Armed Forces Hospital, Cairo, Egypt.
Br J Surg. 1994 Feb;81(2):245-7. doi: 10.1002/bjs.1800810229.
Between 1975 and 1984, 419 patients with bleeding oesophagogastric varices were subjected to the simplified operation of highly selective devascularization. All but three were available for follow-up at 5-10 years. The overall mortality rates for urgent and elective operation were 8 and 2 per cent respectively. The overall recurrent bleeding rates at 1, 5 and 10 years were 8 per cent, 13 per cent (15 per cent of survivors) and 17 per cent (24 per cent of survivors). The overall survival rates at 1, 5 and 10 years were 87, 76 and 57 per cent. Recurrent bleeding was usually controlled by endoscopic sclerotherapy and less often by reoperation. Highly selective devascularization controlled bleeding in emergency and elective situations without compromising hepatic function.
1975年至1984年间，419例食管胃静脉曲张出血患者接受了简化的高选择性断流术。除3例患者外，其余患者均进行了5至10年的随访。急诊手术和择期手术的总死亡率分别为8%和2%。1年、5年和10年的总体再出血率分别为8%、13%（幸存者的15%）和17%（幸存者的24%）。1年、5年和10年的总生存率分别为87%、76%和57%。再出血通常通过内镜硬化治疗控制，再次手术控制的情况较少。高选择性断流术在不损害肝功能的情况下，可控制急诊和择期情况下的出血。
