RESECTION OF ESOPHAGEAL VARICES

[摘要] Brief considerations are made on incidence, symptomatology, endoscopic and radiologic diagnosis of esophageal varices. Mention is made of various treatments advocated. Three cases in children are described; two of them complained of liver cirrhosis and one of blocking of portal vein and chronic congestive splenomegaly; all had profuse hematemesis by varices. Splenectomy and splenorenal anastomosis were practiced without results in two cases. In view of the persistence of hematemesis, an ample thoracotomy was performed, followed by longitudinal incision of the esophagus; this brought into view the varicous columns which were then resected. The esophagus was sutured in two layers. The postoperative course was satisfactory and the esophagoscopic control done two years afterwards in two of the cases showed there has been no reproduction of varices. The third case is still under observation.

[学科分类] 儿科学