SURGICAL TREATMENT OF ESOPHAGEAL VARICES
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概要
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Between March, 1975, and March, 1988, 51 patients with esophageal varices due to portal hypertension were treated and thirty-eight of these underwent direct interruption surgery. One patient was carried out decompression surgery (distal splenorenal shunt).<BR>Twenty-two patients had liver cirrhosis, seventeen were diagnosed as idiopathic portal hypertension.<BR>We preferred the one-staged combined procedure of transabdominal transection using an autosuture apparatus, splenectomy and paraesophagogastric devascularization. The direct interruption procedure for the remaining patients were transthoracic esophageal transection, splenectomy with devascularization and others.<BR>The overall operative mortality rate within one month was 5/38 or 13%. Five-year survival rate in the 30 cases of transection surgery were 71%.<BR>Surgical therapy should be carried out as electively as possible, because of high mortality of emergency operation.
- 北関東医学会の論文
北関東医学会 | 論文
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