[Study and application of dual interventional embolization in patients with acute gastroesophageal variceal bleeding]

From Nov. 1991 to Nov. 1992, twelve cases of acute massive gastro-esophageal variceal bleeding with liver function grading III had been treated with dual interventional embolization (DIE). Hemostasis were successful in all patients during the acute phase. Ten partial splenic embolization (PSE) cases with their hypersplenism cured or improved. The liver function in survived cases were improved with various degree after DIE. The mechanism of DIE in the treatment of acute gastro-esophageal variceal bleeding had been discussed and the alterations in portal pressure, the histopathology of the spleen, the peripheral hematologic changes as well as the complications after DIE were analysed and discussed. The authors claimed that DIE is an alternative method in treating the advanced cirrhosis complicating massive variceal bleeding.