[Our experience with esophagogastric hemorrhages].
A study was made of 129 cases of upper digestive hemorrhage in patients with portal hypertension admitted at the Surgical Clinic of the Institute of Medicine of Chişinău. About 30% of the patients were late admitted, this delay being due to a misjudgment of patients' state and unawareness of the possibility a new and fatal hemorrhage may occur. A change in Blakemore tube design was done. Its use together with the routine hemostatic therapy resulted in hemostasis and discharge of 42% of the admitted patients. When conservative treatment failed and a recurrence of hemorrhage was imminent, emergency surgery was performed. The Tanner-Petrov surgery, splenorenal anastomosis and various types of organopexy combined with splenectomy proved to be the most successful. General lethality in the patients subjected to these surgeries was 6.2%, a smaller figure than that mentioned in the literature.
Danu
M
M
Clinica de Chirurgie, Institutul de Medicină N. Testemiţanu, Chişinău.
Tîbîrnă
C
C
Stavinski
R
R
Namaşco
N
N
D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000628:therapy*; D004947:Esophagus / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques / Q000295:instrumentation; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000628:therapy; D007441:Intubation, Gastrointestinal / Q000295:instrumentation / Q000379:methods; D012008:Recurrence; D013270:Stomach / Q000601:surgery
Experienţa noastră privind hemoragiile eso-gastrice.