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식도정맥류에 (食道靜脈瘤) 대한 비 shunt 수술 (手術)
Non - shunting Procedures for Management of Esophageal Varices식도정맥류에 (食道靜脈瘤) 대한 비 shunt 수술 (手術)
백낙원(Nak Whan Paik),왕희정(Hee Jung Wang),이혁상(Hyucksang Lee)
UCI I410-ECN-0102-2009-510-004939118

Twenty-eight patients with esophageal varices underwent different types of non-shunting operations from March l978 through March 1984. The prcedures included eight esophageal transection with paraesophagogastric devascularization (Sugiura), eighteen transabdominal esophageal transection (Kobayashi), one gastroesophageal decongestion and spleneclomy (Hassab), and one esophageal transection without devascularization. The ages of the patients ranged from 14 years to 56 years. Of 28 patients, 22 were male. Three of the patients were Child class A, 13 were class B, and 12 were class C. Portal hypertension was secondary to liver cirrhosis in 24 patients, to idiopathic portal hypertension in 3 and to congenital hepatic fibrosis in one. Five operations were performed during the emergent time period, and 22 were performed electively. One patient with a striking hypersplenism and a high degree of redcolor sign on esophagoscopy was subjected to a prophylactic surgery. There was one hospital death(3.6%). Post-transection esophageal stricture was noted in four cases. The condition, however, was easily amenable to conservative measures. One of the patients in this series had a recurrent variceal bleeding. It was the case in whom esophageal transection was not done (Hassab). There were three late mortality, one from associated hepatoma and two from terminal liver failure.

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