一种新的、微创的外科分流术：胃颈静脉分流术

Use of gastrojugular shunt as minimally invasive portal systemic shunt before liver transplantation

外科分流术因其再出血率低、止血效果确实,仍然是治疗门脉高压消化道出血的有效手段.目前面临的主要问题是如何在减少创伤和最小化对肝移植的影响等方面改进分流手术.我们在救治一例门脉广泛血栓形成的患者过程中,设计了一种新的胃左静脉-颈内静脉分流术,手术取得成功.鉴于该术式简易且疗效良好,随后我们又将其用于3例消化道大出血患者.4例患者均获治愈,术后随访效果满意.

Surgical shunt is still an effective method in managing portal hypertension related gastrointestinal bleeding.To minimize the invasive trauma and adverse effect on transplantation remains to be the unsolved problem.Herein we present the use of a newly designed surgical shunt to cure massive refractory gastrointestinal tract hemorrhage in a patient,who was critically ill because of the extensive thrombus in portal venous system.The procedure is named gastrojugular shunt.For the sake of its simple operation and effective outcome,the procedure was performed on four other patients.All the patients were well treated and recovered uneventfully with good follow up results.