Franchello A, Olivero G, Foco A, Enrichens F, Mao P, Benedetto G
Istituto di Chirurgia d'Urgenza, Università degli Studi di Torino.
Minerva Chir. 1993 Oct 15;48(19):1059-67.
The authors present their experience in the treatment of acute bleeding from oesophageal varices. From 1983 to 1991, 596 patients underwent sclerotherapy during diagnostic endoscopy; a stop to bleeding was achieved in 512 cases (86%). Twenty-seven surgical emergency decompressive shunts were performed, 14 total portal-systemic and 13 selective; operative mortality was 64% and 54% respectively. One patient was submitted to oesophageal-gastric devascularization. Hundred-sixty elective shunts were performed, 99 total portal-systemic and 61 selective; operative mortality was 8% and 11% respectively. Since 1990 3 patients received liver transplantation. The 5-year survival rate of patients submitted to selective shunts was 46%; the 5-year survival rate of nonalcoholic cirrhotics submitted to shunt SRD was 73%.
作者介绍了他们治疗食管静脉曲张急性出血的经验。1983年至1991年期间，596例患者在诊断性内镜检查时接受了硬化疗法；512例（86%）出血停止。进行了27例外科急诊减压分流术，14例为完全门体分流术，13例为选择性分流术；手术死亡率分别为64%和54%。1例患者接受了食管胃去血管化手术。进行了160例择期分流术，99例为完全门体分流术，61例为选择性分流术；手术死亡率分别为8%和11%。自1990年以来，3例患者接受了肝移植。接受选择性分流术患者的5年生存率为46%；接受分流术SRD的非酒精性肝硬化患者的5年生存率为73%。
