Portal hypertension and surgical treatment of upper gastrointestinal bleeding

Abstract

Objective To study the diagnosis of portal hypertension and upper gastrointestinal bleeding and the effect of the surgical treatment. Methods 52 cases of liver function(Child) A ～ B Grade PHT and surgical treatment of upper gastrointestinal bleeding in patients with clinical data of 26 cases were randomly divided into treatment group to reduce the flow, drying up, cardia and gastric peripheral vascular surgical amputation.Control group,26 cases in the surgical treatment group, based on increases gastric submucosal cerclage, and the two groups after long-term efficacy and comparative analysis of re-bleeding rates. Results All patients were followed up for 5 years, the treatment group cured 22 cases,4 died, and then bleeding in 5 cases, cure rate of 84. 6% improved. Control group ,25 cases were cured and 1 died, and then bleeding in 1 case,improved cure rate of 96. 1%. The two groups after statistical in control group, bleeding was significantly higher cure rate than that of treatment group, the difference was statistically significant (P＜0.05 ). Conclusions Reduced flow, drying up, breaking away from the cardia peripheral vascular surgery plus fundic mucosa cerclage is a effect treatment to cure portal hypertension and upper gastrointestinal bleeding, And relatively more effective than simple reduced flow, drying up, breaking away from the peripheral vascular surgery cardiac. Key words: Portal hypertension; Upper gastrointestinal bleeding; Surgical therapy; Gastric submucosal cerclage