A modified Hassab procedure in the treatment of acute esophageal variceal bleeding / 国际外科学杂志
International Journal of Surgery
;
(12): 454-457, 2014.
Article
in Chinese
| WPRIM
| ID: wpr-450429
ABSTRACT
Objective Acute esophageal variceal bleeding is one of the most dreadful complications of cirrhotic portal hypertension.This study evaluated a modified gastro-esophageal decongestion (MGED) procedure in the management of acute variceal bleeding that could not be controlled by drugs and/or endoscopic therapy.Methods A MGED procedure was performed in 136 patients with uncontrollable acute variceal bleeding by drugs and/or endoscopic therapy.The perioperative and long-term outcome of these patients were retrospectively studied.Resluts Immediate control of variceal bleeding was achived in 97.8% (133/136) patients.Perioperative mortality occurred in 5.1% (7/136) patients.The 3-year and 5-year rebleed rate was 7.0% (9/129) and 13.2%,respectively.The 3-year and 5-year overall survival rate was 91.5% (118/129) and 79.8% (103/129),respectively.Conclusions In this study,the MGED procedure was an effective life-saving procedure in controlling acute esophageal variceal bleeding for its safe,simple and less time-consuming advantages.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
International Journal of Surgery
Year:
2014
Type:
Article
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