Modified Hassabs Procedure for control of Esophageal Varices in Portal Hypertension - A Prospective Study.

ABSTRACT

Background: Modified Hassab’s surgery is one of the Devascularisation procedure for controlling hemetemesis due to oesophageal varices. It has less chances of encephalopathy and mortality. We have studied 20 patients of oesophageal varices with portal hypertension and operated for Modified Hassabs Procedure. Aim: To determine the efficacy of Modified Hassab’s procedure for portal hypertension, due to causes other than Schistosomiasis, to determine the short term outcome and long term follow up of patients treated with this procedure regarding oesophageal varices, rebleeding, liver function, ascitis, encephalopathy and mortality following Modified Hassab’s procedure. Methods: This study was conducted at a single teaching hospital in Mumbai over a period of six years. 20 patients were studied for immediate and long term complications. Results: Oesophageal varices resolved in 11 patients (55%), regressed in 7 patients (35%), Fundic varices completely resolved in all the 4 patients. There was rebleed in two patients and was treated by sclerotherapy. There was no encephalopathy or mortality. Conclusion: We conclude that Hassabs Procedure is effective, and good control of varices can be achieved in portal hypertension patients due to Portal Vein Thrombosis and Portal Cavernoma, Cirrhosis of liver, Non Cirrhotic Portal Fibrosis.