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[Our experience with esophagogastric hemorrhages]
M Danu1, C Tîbîrnă, R Stavinski
1Clinica de Chirurgie, Institutul de Medicină N. Testemiţanu, Chişinău.
Abstract:
A study was made of 129 cases of upper digestive hemorrhage in patients with portal hypertension admitted at the Surgical Clinic of the Institute of Medicine of Chişinău. About 30% of the patients were late admitted, this delay being due to a misjudgment of patients' state and unawareness of the possibility a new and fatal hemorrhage may occur. A change in Blakemore tube design was done. Its use together with the routine hemostatic therapy resulted in hemostasis and discharge of 42% of the admitted patients. When conservative treatment failed and a recurrence of hemorrhage was imminent, emergency surgery was performed. The Tanner-Petrov surgery, splenorenal anastomosis and various types of organopexy combined with splenectomy proved to be the most successful. General lethality in the patients subjected to these surgeries was 6.2%, a smaller figure than that mentioned in the literature.