J Gastroenterology: Treatment results of gastric reflux or gastric sac varicose retrograde vein blockicles after spleen removal

BACKGROUND:Although the clinical use of cyatic occlusion retrograde vein splinter (BRTO) is commonly used to treat gastric veins caused by high-pressure venous access, data comparing BRTO and spleen excision with gastric blood reconstruction (Sp-Dev) are limitedTherefore, the purpose of this study is to conduct a related study between the twomethod:from January 2009 to February 2018, the researchers included 100 patients with gastric varicose veins caused by high-pressure in the spi-Dev (n-45) or BRTO (n-55)The total lifetime (OS) and reheency rates of the therapeuticly weighted adjusted decimal rank test were calculated and independent risk factors were determined through Cox regression analysisAnalysis of changes in liver function and adverse events after surgeryresults: The platelet count in patients in theSp and Dev group tended to be lower than in the BRTO group, but there was no difference in liver function between these groupsThe five-year OS rates for the Sp-Dev and BRTO groups were 73.4% and 50.0% respectively (p s 0.005)There was no significant difference in reblerate rates between the two groupsMulti-factor analysis showed that serum albumin levels of 3.6g / dL, coagulation enzyme sphincter activity (PT%) of 80%, serum creatinine levels of 0.84mg / dL were adverse prognostic factorsDespite short-term complications after surgery in the Sp-Dev group, the Sp-Dev group was more effective in improving liver function than the BRTO groupConclusion
showed better OS and liver function improvement in the treatment of gastric veins caused by high-pressure veins in the door than BRTO