Mechanism and experience in treatment of rebleeding after devascularization for portal hypertension:A report of 43 cases
WANG Wen-jing
CAO Guo-jun
HU Qing-gang
Abstract：Objective To explore the causes and mechanism of upper gastrointestinal (GI) rebleeding after pericardia devascularization in portal hypertension (PHT) in order to enhance the diagnostic level and therapeutic effects. Methods The clinical data of 43 cases of rebleeding after devascularization for portal hypertension admitted from July 2012 to December 2014 in Department of Hepatobiliary Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology were analyzed retrospectively. Results Of the 2 cases by emergent operation,1 case caused by aneurysmal variceal bleeding of gastric fundus was treated by strapping of aneurysmal varicosity;1 case of diffusivity cardia-fudus aneurysmal varicosity who was treated by proximal gastrectomy died on 8th days after surgery. Of 10 cases by selective operation,8 cases caused by recurrence of severe esophageal and gastric varices were treated by second devascularization; 2 cases of fudus aneurysmal varicosity was treated by proximal gastrectomy. A total of 15 cases of localized varicosity were treated by endoscopic therapy. The rest cases were cured by conservative treatments. No rebleeding occurred in the period of 0.5 to 2.5 years of following up in 35 cases. Conclusion For rebleeding after pericardial devascularization,individualized treatment can gain satisfactory effects.
Keywords：portal hypertensiondevascularizationrebleedinggastrointestinal bleeding
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1321-1324 )