Clinical analysis of three minimally invasive methods for treatment of upper gastrointestinal bleeding caused by portal hypertension in 73 cases
Abstract：ObjectiveTo compare the hemostatic effects and complications of three minimally invasive methods in treatment of acute upper gastrointestinal bleeding caused by portal hypertension, and to provide the reference for selection of suitable treatment methods for clinical practice.Methods The clinical data of 73 patients with acute upper gastrointestinal hemorrhage caused by portal hypertension were collected in Jinhua Hospital of Zhejiang University between February 2013 and December 2017.These patients were divided into laparoscopic group (n=16), endoscopic group (n=31) and TIPS group (n=26) according to different treatment methods.The general situation, postoperative hospitalization time, postoperative complications, perioperative death and postoperative rehemorrhage were retrospectively analyzed and compared among the three groups.Results The endoscopic group had the shortest average time of hospitalization (P＜0.05) and the lowest hospitalization cost (P＜0.05), and the incidence of obdominal infection after operation in the laparoscopie group was the highest (P＜0.05).The incidence of hepatie encephalopathy after operation in the TIPS group was the hightest (P＜0.05).The laparoscopie group had the lowest rebleeding rate (P＜0.05).Conclusion The three methods have their respective advantages in the treatment of acute upper gastrointestinal bleeding caused by portal hypertension, as a result, an appropriate treatment method should be selected based on the comprehensive consideration of the patient's condition, the doctor's experience and the technical conditions of the hospital.
Keywords：Portal hypertensionUpper gastrointestinal hemorrhageMinimally invasive treatment
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 28-31 )