Pericardial devascularization plus submucous varicose trans-ligation in the fundus of stomach for the treatment of bleeding varix / 中国普通外科杂志

ObjectiveTo evaluate the surgical therapy for bleeding gastroesophageal varix.Method108 cases of portal hypertension were treated by pericardial devascularization plus submucous varix transligation in the gastric fundus.Postoperative follow-up was made in 90 cases.ResultPostoperative mortality was 7.4% (8 cases), and 9 cases died of rebleeding during the followed-up of 3 years.The rebleeding rate was 21%. The mortality rate of emergent operation was greater than elective surgery.ConclusionThe surgical procedure is satisfactory in the management of bleeding varix especially on elective basis, when the protocol is strictly observed.