Effects of different treatment complex on esophageal vascular structures in patients with portal hypertension / 中华外科杂志
Chinese Journal of Surgery
;
(12): 450-453, 2006.
Article
in Chinese
| WPRIM
| ID: wpr-317135
ABSTRACT
<p><b>OBJECTIVE</b>To assess the effects of different treatment complex on esophageal vascular structures in patients with portal hypertension.</p><p><b>METHODS</b>Patients (142 cases) with esophageal varices received either endoscopic variceal ligation (EVL) alone (54 cases), pericardial devascularization procedure (PDP) alone (23 cases), a combination of EVL and partial splenic embolization (PSE) (34 cases), or a combination of EVL and PDP (31 cases) for variceal eradication. Esophageal vascular structures were examined with miniature ultrasonic probe. The recurrence and rebleeding of esophageal varices were investigated.</p><p><b>RESULTS</b>Esophageal submucous varices were obliterated and collateral veins remained unchanged in patients treated by EVL or EVL combined with PSE; esophageal submucous varices were diminished in size and collateral veins were obliterated by PDP, and both esophageal submucous varices and collateral veins were obliterated by the combination of EVL and PDP.</p><p><b>CONCLUSIONS</b>The combination of EVL and Hassab's procedure can effectively shut off the portoazygous shunt, prevent esophageal varices from bleeding and recurrence. It's a simply and less cost procedure.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Splenectomy
/
General Surgery
/
Therapeutics
/
Vascular Surgical Procedures
/
Diagnostic Imaging
/
Cardia
/
Esophageal and Gastric Varices
/
Retrospective Studies
/
Endoscopy, Digestive System
/
Ultrasonography
Type of study:
Diagnostic study
/
Observational study
Limits:
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2006
Type:
Article
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