A modified Hassab procedure in the treatment of acute esophageal variceal bleeding / 国际外科学杂志

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.