食道下段及近端胃切除治疗门脉高压症

Distal esophagectomy and proximal gastrectomy for treatment of patients with portal hypertension

目的探讨门静脉高压症食道下段胃底重度静脉曲张的手术方法。方法回顾性分析15例行食道下段及近端胃切除门脉高压症患者的临床资料。结果手术成功率100%,无手术死亡及肝功能衰竭,术后再出血0%。结论食道下端胃底切除术具有断流彻底、安全性较高,严格把握适应症并未增加手术风险,疗效满意,是断流术中治疗门静脉高压症食道下段胃底重度静脉曲张的最为彻底的治疗方法。

【Objective】To evaluate the effect of distal esophagectomy and proximal gastrectomy for treatment of patients with portal hypertension. 【Methods】The clinical datum of 15 cases of distal esophagectomy and proximal gastrectomy for treatment of patients with portal hypertension were retrospectively analyzed. 【Results】The opera- tions were successful in all of the patients. There were no death and hepatic failure. The recurrence rate of bleeding was 0%. 【Conclusions】Distal esophagectomy and proximal half-gastrectomy is the most thorough method to treat patients with portal hypertension. It＇s safe and suitable in patients with severe varix of the distal esophagus and gas- tric fundus caused by portal hypertension. The operative indications have to be chosen critically to get good effect.