A modified Sugiura procedure for variceal bleeding / 中华普通外科杂志
Chinese Journal of General Surgery
;
(12): 104-107, 2015.
Article
in Chinese
| WPRIM
| ID: wpr-468823
ABSTRACT
Objective To evaluate a modified Suguira procedure for the treatment of variceal bleeding.Methods A modified Suguira procedure was performed in 62 patients with acute variceal bleeding (11 cases) that could not be controlled by endoscopic therapy or with a history of massive bleeding (51 cases) after endoscopic therapy.Results Perioperative mortality occurred in 2% (1/62) patients.Esophageal anastomotic leak occurred in 2% (1/62) patients,and anastomotic stenosis developed in 5% (3/62) patients.Twelve months after operation,esophageal varices disappeared in 79% (48/61) patients,diminished in size in 18% (11/61),remained unchanged in 3% (2/61) ; Fundal gastric varices disappeared in 98% (60/61) patients,diminished in size in 2% (1/62).The rebleeding rate was 3% (2/61) and 8% (5/61) in 3 years and 5 years,respectively.Conclusions The modified Suguira procedure is safe and effective for long-term control of variceal bleeding after a failed endoscopic therapy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
Chinese Journal of General Surgery
Year:
2015
Type:
Article
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