[Effect of ladder ring suture of esophageal mucosa vascular combined with Nissen' s fundoplication on prevention from rebleeding of patients with advanced schistosomiasis].

OBJECTIVE

To evaluate the effectiveness of the ladder ring suture of the esophageal mucosa vascular combined with Nissen's fundoplication on provention from rebleeding of patients with advaced schistosomiasis

METHODS

From August 2006 to August 2011, 75 patients with advanced schistosomiasis portal hypertension received the portal azygous disconnection and ladder ring suture of the esophageal mucosa vascular combined with Nissen's fundoplication (a combined group), and 83 patients with advanced schistosomiasis portal hypertension received the portal azygous disconnection only (a simple group), and the results of the follow-up were analyzed.

RESULTS

The effective rates were 81.3% (61/75) in the combined group and 30.1% (25/83) in the simple grouup, and the rebleeding rates were 2.7% (2/75) and 12.0% (10/83) in the two groups, respectively (P < 0.01).

CONCLUSION

The ladder ring suture of the esophageal mucosa vascular combined with Nissen' s fundoplication is effective and safe on the prevention from rebleeding of patients with advaced schistosomiasis.