消化管吻合器を用い成功した特異な門脈圧亢進症による食道静脈瘤の1手術例

概要

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We have experienced a 6 year-old boy with recurrent rupture of esophageal varices due to splenic and left portal vein obstruction as well as right portal vein stenosis. We successfully treated this patient with esophageal transaction with using SPTU Auto-stapler, splenectrmy and parietal cell vagotoiny. It is easy and time saving procedure. Presently this patient is doing very well at 10 months post-operative period. Since any type of shunt operation is thought to be contraindication before the age 10, it is worth while to consider these procedures as the first choice. The long term follow up is mandatory to establish them as a routine use.
日本小児外科学会の論文
1983-08-20