食管下段胃近端切除、回盲肠间置术治疗门静脉高压症术后再出血

The lower esophagus and upper stomach resection followed by ileocecal interposition reconstruction in the treatment for the postoperative rebleeding in patients with portal vein hypertension.

目的 探讨食管下段胃近端切除 ,回盲肠间置术治疗门静脉高压症术后再出血的疗效。方法 1998～ 2 0 0 4年广西医科大学附属第一医院采用食管下段胃近端切除 ,回盲肠间置术治疗断流术术后再出血 5例。结果 5例均获随访 ,最长 6年 ,最短 2年。随访期无食管静脉曲张 ,无复发出血。无术后近期死亡、并发症。结论 食管下段胃近端切除、回盲肠间置术治疗门静脉高压症术后再出血止血确切 ,是一种比较理想的手术方法。

Objective To evaluate the clinical effect in controlling postoperative rebleeding in patients with portal vein hypertension by the surgical procedure of lower esophagus and upper stomach resection followed by ileocecal interposition reconstruction.Methods Five cases of postoperative rebleeding from 1998 to 2004 in First Affiliated Hospital of Guangxi Medical University were treated by using elective operation of the lower esophagus and upper stomach resection,and ileocecal interposition technique. Results All patients were followed up for 2 to 6 years with no recurrence of esophageal varices, no rebleeding, neither death in short time nor complications. Conclusion The lower esophagus and upper stomach resection plus ileocecal interposition procedure has a definite hemostatic effect in treating rebleeding after devascularization procedure and is an ideal surgical procedure for this kind of patients.