Selective periesophagogastric devascularization in portal hypertension: Results of 56 Patients

Hepato-Gastroenterology

Volumn 56, Issue 90, 2009, Pages 492-497

  Shi, Baomin ^a,c   Yang, Zhen ^b   Wang, Xiuyan ^a   Xu, Jian ^a   Lu, Xiaofei ^a   Liang, Feng ^a   Mu, Qingling ^a   Wu, Tai Huang ^a  

^a SHANDONG UNIVERSITY   (China)

^b HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY   (China)

^c SHANDONG PROVINCIAL HOSPITAL AFFILIATED TO SHANDONG UNIVERSITY   (China)

Author keywords

Devascularization; Portal hypertension; Surgery

Indexed keywords

ADULT; AGED; ALCOHOL LIVER CIRRHOSIS; ARTICLE; DEVASCULARIZATION; ESOPHAGUS VARICES BLEEDING; FEMALE; FOLLOW UP; HUMAN; LIVER CIRRHOSIS; MAJOR CLINICAL STUDY; MALE; PLEURA EFFUSION; PORTAL HYPERTENSION; PORTAL VEIN THROMBOSIS; PRIORITY JOURNAL; RECURRENT DISEASE; RETROSPECTIVE STUDY; SAFETY; SELECTIVE PERIESOPHAGOGASTRIC DEVASCULARIZATION; SURVIVAL RATE; SURVIVAL TIME; TREATMENT OUTCOME;

ADULT; AGED; COLLATERAL CIRCULATION; ESOPHAGEAL AND GASTRIC VARICES; FEMALE; GASTROINTESTINAL HEMORRHAGE; HUMANS; HYPERTENSION, PORTAL; MALE; MIDDLE AGED; RECURRENCE; RETROSPECTIVE STUDIES; SURVIVAL RATE; TREATMENT OUTCOME;

EID: 67649158335     PISSN: 01726390     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (32)

1. Abraldes JG, Angermayr B, Bosch J: The management of portal hypertension. CHn Liver Dis 2005;9(4):685-71
2. Bosch J, Garcia-Pagan JC: Complications of cirrhosis. I. Portal hypertension.J Hepatol 2000; 32(1 Suppl):141-56.
3. Pagliaro L, D'Amico G. Pasta L, Politi F, Vizzini G, Traina M, et al: Portal hypertension in cirrhosis: Natural history. In:Bosch J, Groszmann RJ: Editors.Portal Hypertenion. Pathophysiology and Treatment. Oxford: Blackwell Scientific Publications: 1994.p 72-79
4. Wright AS, Rikkers LF: Current management of portal hypertension. J Gastrointest Surg. 2005; 9(7):992-1005
5. Krai V, Klein J, Havlik R, Aujesky R, Utikal P: Esophagogastric devascularization as the last option in the management of variceal bleeding. Hepatogastroenterology 2002;49(43):244-6
6. Warren W D, Millikan Jr W J, Henderson J M et al: Ten years portal hypertensive surgery at Emory: results and new perspective. Annals of Surgery. 1982; 195:531-542
7. Hassab MA: Gastro-oesophageal decongestion and splenectomy in the treatment of oesophageal varices in BiIharzial cirrhosis: further studies with a report on 355 oper- ations. Surgery 1967; 61: 169-176.
8. Sugiura M, Futagawa S: A new technique for treating oesophageal varices. Journal of Thoracic and Cardiovascular Surgery. 1973; 66:677-85
9. Sugiura M, Futagawa S: Results of six hundred and thirty-six esophageal transections with paraesophagastric devascularization in the treatment of esophageal varices. Journal of Vascular Surgery 1984; 1:254-60
10. Haciyanli M, Gene H, Haliči H, Kumkumoglu Y, Gur OS, Ozturk T: Results of modified Sugiura operation in variceal bleeding in cirrhotic and noncirrhotic patients. Hepatogastroenterology. 2003; 50(51):784-8.
11. Qazi SA, Khalid K, Hameed AM, Al-Wahabi K, Galul R, Al-Salamah SM: Transabdominal gastroesophageal devascularization and esophageal transection for bleeding esophageal varices after failed injection sclerotherapy: long-term follow-up report. World J Surg 2006; 30(7): 1329-37.
12. De Franchis R, Primignai M: Natural history of portal hypertenion in patients with cirrhosis. Clin Liver Dis.' 2001:5:645-643
13. Klempnaue J, Schrem H: Review: surgical shunts and encephalopathy. Metab Brain Dis. 2001;16(l-2):21-5
14. Casado M, Bosch J, Garcia-Pagan JC, Bru C, Bañares R, Bandi JC, Escorsell A: Clinical events after tran- sjugular intrahepatic portosystemic shunfccorrelation with hemodynamic findings.Gastroenterology 1998;114(6):1296-303
15. Lind CD, Malisch TW, Chong WK, Richards WO, Pinson CW, Meranze SG, Mazer M: Incidence of shunt occlusion or stenosis following transjugular intrahepatic por- tosystemic shunt placement.Gastroenterology. 1994;106 (5):1277-83
16. Sugiura M, Futagawa S: Esophageal transection with para-esophagogastric devascularization (the Sugiura procedure) in the treatment of esophageal varices.World Journal of Surgery 1984 8:673-82
17. Hassab MA: Gastro-esophageal decongestion and splenec-tomy GEDS (Hassab), in the management of bleeding varices. Review of literature. Int Surg. 1998;83(1):38-41
18. Gouge TH, Ranson JH: Esophageal transection and paraesophagogastric devascularization for bleeding esophageal varices. Am J Surg 1986;151(l):47-54
19. Haciyanli M, Gene H, Haliči H, Kumkumoglu Y, Gur OS, Ozturk T: Results of modified Sugiura operation in variceal bleeding in cirrhotic and noncirrhotic patients. Hepatogastroenterology 2003;50(51):784-8
20. Yang Z, Qiu F: Pericardial devascularization with splenec- tomy for the treatment of portal hypertension. Zhonghua Wai Ke Za Zhi. 2000; 38(9):645-8. Chinese
21. Hassab MA: Gastro-esophageal decongestion and splenec- tomy GEDS (Hassab), in the management of bleeding varices. Review of literature. Int Surg 1998;83(1):38-41
22. Wu YK, Wang YH, Tsai CH, Yung JC, Hwang MH: Modified Hassab procedure in the management of bleeding esophageal varices'a two-year experience. Hepatogas-troenterology 2002;49(43):205-257
23. Irisawa A, Shibukawa G, Obara K, Saito A, Takagi T, Shishido H, Odajima H, Abe M, Sugino T, Suzuki T, Kasukawa R, Sato Y: Collateral vessels around the esophageal wall in patients with portal hypertension: comparison of EUS imaging and microscopic findings at autopsy. Gastrointest Endose 2002 ;56(2):249-253
24. Vianna A, Hayes PC, Moscoso G, Driver M, Portmann B, Westaby D, Williams R: Normal venous circulation of the gastroesophageal junction. A route to understanding varices. Gastroenterology 1987;93(4):876-889
25. Choudhuri G, Dhiman RK, Agarwal DK: Endosono- graphie evaluation of the venous anatomy around the gas- tro-esophageal junction in patients with portal hypertension.Hepatogastroenterology 1996;43(11):1250-1255
26. Ito K, Matsutani S, Maruyama H, Akiike T, Nomoto H, Suzuki T, Fukuzawa T, Mizumoto H, Saisho H: Study of hemodynamic changes in portal systemic shunts and their relation to variceal relapse after endoscopic variceal ligation combined with ethanol sclerotherapy. J Gastroenterol 2006; 41(2):119-126
27. Irisawa A, Ohara K, Sato Y, Saito A, Takiguchi F, Shishido H, Sakamoto H, Kasukawa R: EUS analysis of collateral veins inside and outside the esophageal wall in portal hypertension. Gastrointest Endose 1999;50(3):374-380
28. Irisawa A, Obara K, Bhutani MS, Saito A, Shishido H, Shibukawa G, Takagi T, Yamamoto G, Seino O, Shishido F, Kasukawa R, Sato Y: Role of para- esophageal collateral veins in patients with portal hyper-tension based on the results of endoscopic ultrasonography and liver scintigraphy analysis. J Gastroenterol Hepatol. 2003;18(3):309-314
29. McCormack TT, Rose JD, Smith PM, Johnson AG: Perforating veins and blood flow in oesophageal varices. Lancet. 1983;2(8365-66):1442-4
30. Zeng J, Yang Zhen, Zhou Yonggui, et al: The therapeu-tic effect of selective pericardial devascularization on portal hypertention, Fu Bu Wai Ke, 2005,18:23-25 (in Chinese)
31. Xie M, Huang J, Pan YM, et al: The clinical significance of portaazygous devascularization procedure weith intact portasystemic collateral shunts. Chin J General Surgery,2006,21:689-691
32. Hassab MA: Gastro-esophageal decongestion and splenec-tomy GEDS (Hassab), in the management of bleeding varices. Review of literature. Int Surg. 1998; 83(1):38-41