Abstract
A long-term prognosis of 89 patients with esophagogastric varices followed up more than 10 years after treatment, and without hepatocellular carcinoma or any other malignant neoplasm were evaluated. Overall 10 and 20 year cumulative survival rates were 37.8% and 12.3% respectively. A short-term survival rate of surgery was lower compared with that of endoscopic treatment. Its 20 year cumulative survival rate was 18.9%, which was comparable to that of endoscopic treatment. The difference in survival rates was not revealed between esophageal transection and Hassab's operation. A 10 year cumulative survival rate of emergency cases was poor at 9.2%. Ten and 20 year survival rates of prophylactic cases were higher at 40.3% and 23.6% compared with those of the emergency cases at 9.2% and 0% respectively. Survival rate was related to Child-Pugh score grade; 51.9% in Child A, 27.1% in Child B and 9.1% in Child C. A 10 year cumulative survival rate of patients with recurrence of varices was 33.7%. There was no significant difference between patients with and without recurrence. It was suggested that appropriate treatments at the time of recurrence of esophagogastric varices may bring about a long-term favorable prognosis comparable to patients without recurrence.
