Selective paraesophagogastric devascularization for treatment of portal hypertension with upper gastrointestinal hemorrhage in 135 cases

Objective To evaluate the therapeutic effect of selective paraesophagogastric devascularization in the treatment of portal hypertension with upper gastrointestinal hemorrhage.Method The clinical data of 135 patients with upper gastrointestinal hemorrhage due to portal hypertension undergoing selective paraesophagogastric devascularization from 2012 to 2015 were retrospectively analyzed;ninety-four patients received open selective paraesophagogastric devascularization,whereas the other 41 patients received laparoscopic surgery.The hemorrhage,perioperation complications and long-term recurrent upper gastrointestinal bleeding rate were observed.Result The hemostasis rate was 100%,and the complication rate after operation was 11%(15/135) with 3 cases of wound infection,8 cases of portal vein thrombosis,3 cases of gastroparesis, and 1 case of death caused by liver failure 4 days after operation.One hundred and-one patients were followed up for an average of 16 months(3~36 months)with no recurrence of hematemesis. The overall survival rate was 97%(98/101).Conclusion Selective paraesophagogastric devascularization is a safe and effective method in the treatment of portal hypertension with upper gastrointestinal hemorrhage, which is worth generalizing.