Adequate Treatment of Esophageal Varices Complicated by Gastric Cancer

概要

論文の詳細を見る
We evaluated treatment of esophageal varices complicated by gastric cancer in total of 97 cases including 13 cases we experienced and 84 cases reported in our country. In our class, the rate of recurrence of varices is 22.2% (2/9) in total gastrectomy with splenectomy, but 100% (2/2) in distal gastrectomy without splenectomy. For the selection of an adequate treatment method we should precisely assess the advance of gastric cancer, the severity of liver dysfunction and the degree of esophagogastric varices. Generally total gastrectomy with splenectomy and paraesophageal devascularization is most effective. However, because this procedure is hard to tolerate for patients with poor liver function reserve, distal gastrectomy without splenectomy and additional endoscopic injection sclerotherapy is more adequate for such cases.
The Japan Society for Portal Hypertensionの論文