Abstract
In this communication, we report the results of 27 patients who underwent non-shunting operation for gastric varices (including esophago-gastric varices) in our department during the past 9 years and 7 months. Causes of portal hypertension were liver cirrhosis in 21, extrahepatic portal vein obstruction in three, and idiopathic portal hypertension in three. Six of the 27 patients experienced bleeding from gastric varices. Operative methods were esophageal transections in 18, Hassab operations in five and Hassab operations with endoscopic injection sclerotherapy or endoscopic variceal ligation in four. Hassab operation was mainly indicated for patients without esophageal varices. The mean observation period of all patients was 977.7 days. Postoperative complications were observed in 11.1% of patients. Gastric varices completely disappeared in all patients and no recurrence was experienced during mean observation period of 978 days. We concluded that advantage of the non-shunting operation for gastric varices was good therapeutic results, while disadvantage was a relative high rate of complications.
