Abstract
We discussed about the meaning of bleeding from the anastomotic region part after alimentary tract surgery in patients with liver cirrhosis.
The diseases for which we performed operation were as follows: esophageal varices 10 cases, stomach bleeding…2 cases, cardiac varix…1 case.
Among 10 cases of esophageal varices, we experienced suture insufficiency in 2 cases, but we never recognized bleeding from the anastomotic region in these 2 cases in spite of major suture insufficiency in one case.
Contrary to these facts, in 2 cases for which we performed stomach operation (stomach resection or total gastrectomy), we experienced suture insufficiency and uncontrollable bleeding from the anastomotic region, which eventually brought about fatal hepatic failure.
The reason why bleeding occurred in stomach operation while no bleeding in esophageal varices even with suture insufficiency, was because in esophageal transection we performed devascularization elaborately around the anastomosis and used many sutures.
Thus, we concluded that also in stomach resection in patients with liver cirrhosis we must perform elaborate devascularization around the anastomatic regions and use many sutures in anastomosis.
