[Hassab's procedure with or without lower esophageal transection in the treatment of portal hypertension. A prospective controlled study].
Seventy-three patients of portal hypertension were treated with Hassab's procedure or the procedure combined with lower esophageal transection during 1982-1986. All were followed up to 25-74 months (average of 48.8 months). The results revealed that Hassab's procedure was effective in maintaining hepatic function, no encephalopathy, good quality of life (excellent and fair in 83.3%). low incidence of upper GI rebleeding within two years after operation (3.1%), and easy manipulation. However, the accumulated late rebleeding rate was rather high (18.8%). The long-term results of combined procedure, including rebleeding rate, was no significantly difference from those of the simple Hassab's procedure, and the early postoperative serious complications were more frequently seen in patients receiving combined procedure than in those receiving Hassab's procedure.
Zhang
D C
DC
First Affiliated Hospital of West China University of Medical Sciences, Chengdu.
D000293:Adolescent; D000328:Adult; D004932:Esophageal and Gastric Varices / Q000209:etiology; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods