Application of anastomat in the surgery of portal hypertension

Abstract

Objective To investigate the therapeutice effect of the partial resection of lower part of the esophagus pins pericardial pevaseularization by using transabdominal anastomat in the treatment of portal hyportension.Methods In 84 portal hypertensive patients, 42 were that were treated with partial resection of lower part of the esophagus with transabdominal anastomat plus pericarlial devascularization (as experimental group) and 42 were that were treated with only pericardial derivascularization (as control group). The therapeutic effect and security were evaluated. Results In the experimental group, no patients had rebleeding, the varicose veins of lower part of the esophagus disappeared after 3 months, the cure rate of varicose veins was 100%, the stenosis rate of anastomotic stoma was zero; In the control group, the rebleeding rate was 26.2% (11/42), the cure rate of varicose veins was 50%after 3 months, 25 patients were checked to have moderate or severe varicose veins after 12 months. Conclusion Partial resection of lower part of the esophagus in the treatment of portal hyportension is safe. It could improve the effect of pericardial devascularization and lower the recrudescence rate. Key words: Anastomat; Pericardial devascularization; Portal hyportension