Surgical treatment for postoperative recurrent GI bleeding in patients with portal hypertension

Objectives To evaluate the effect of modified Walker's procedure for the treatment of recurrent bleeding in patients of portal hypertension. [WT5”HZ] Methods[WT5”BZ] Since 1983 we adopted modified Walker's operation to make low esophageal transection and transect intraabdominal recurrent varix of the coronary vein in the treatment of recurrent bleeding of portal hypertension. [WT5”HZ]Results [WT5”BZ] In 32 cases of postoperative rebleeding of portal hypertension, 28 cases underwent selective operation with no mortality, 4 cases received emergent surgery, one died postoperatively. Mortality was 3 13%(1/32).The postoperative survival was: 13y (1 case); 11y (2 case); 10y (1 case); 8y (3 case); 7y (6 case); 6y (3 case); 5y (2 case);4y (2 case); 3y (3 case); 2y (4 case);1y (2 case). 2m (1 case died of anastomotic fistula). [WT5”HZ] Conclusions [WT5”BZ] The authors consider that modified Walker's operation in the treatment of postoperative rebleeding of portal hypertension is a rational operative way. It is a simple method and can effect reliable immediate hemostasis and good remote postoperative results.