[Effects of different treatment complex on esophageal vascular structures in patients with portal hypertension].
OBJECTIVE
To assess the effects of different treatment complex on esophageal vascular structures in patients with portal hypertension.


METHODS
Patients (142 cases) with esophageal varices received either endoscopic variceal ligation (EVL) alone (54 cases), pericardial devascularization procedure (PDP) alone (23 cases), a combination of EVL and partial splenic embolization (PSE) (34 cases), or a combination of EVL and PDP (31 cases) for variceal eradication. Esophageal vascular structures were examined with miniature ultrasonic probe. The recurrence and rebleeding of esophageal varices were investigated.


RESULTS
Esophageal submucous varices were obliterated and collateral veins remained unchanged in patients treated by EVL or EVL combined with PSE; esophageal submucous varices were diminished in size and collateral veins were obliterated by PDP, and both esophageal submucous varices and collateral veins were obliterated by the combination of EVL and PDP.


CONCLUSIONS
The combination of EVL and Hassab's procedure can effectively shut off the portoazygous shunt, prevent esophageal varices from bleeding and recurrence. It's a simply and less cost procedure.
Liu
Bo
B
Department of Hepatobiliary Surgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China. jakebo@163.net
Lin
Nan
N
Deng
Mei-hai
MH
Xu
Rui-yun
RY
Liu
Xun-yang
XY
Huang
Fei-zhou
FZ
Li
Rui-zhen
RZ
D002299:Cardia / Q000098:blood supply / Q000601:surgery; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D016145:Endoscopy, Digestive System; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013156:Splenectomy; D016896:Treatment Outcome; D014463:Ultrasonography; D014656:Vascular Surgical Procedures / Q000379:methods*