Emergency Oesophageal Transection to Control Bleeding Varices

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Bleeding oesophageal varices ROGER

IN BRINGING this Symposium to a close, I shall deal with one of the most dramatic and lethal complications of liver disease-rupture of an oesophageal varix. These patients die from loss of blood or liver failure, or more usually, a combination of both factors. The development of liver failure with increasing jaundice, ascites and hepatic coma is inevitable if bleeding is allowed to continue. Th...

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Bleeding oesophageal varices.

IN BRINGING this Symposium to a close, I shall deal with one of the most dramatic and lethal complications of liver disease-rupture of an oesophageal varix. These patients die from loss of blood or liver failure, or more usually, a combination of both factors. The development of liver failure with increasing jaundice, ascites and hepatic coma is inevitable if bleeding is allowed to continue. Th...

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Somatostatin analogues for acute bleeding oesophageal varices.

BACKGROUND Somatostatin and its derivatives are often used for emergency treatment of bleeding oesophageal varices in patients with cirrhosis of the liver. OBJECTIVES To study whether somatostatin or analogues improve survival or reduce the need for blood transfusions in patients with bleeding oesophageal varices. SEARCH STRATEGY MEDLINE and The Cochrane Library were searched; last search i...

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Rationale for transthoracic esophageal transection for bleeding varices.

P ORTAL-SYSTEMIC SHUNTS HAVE LONG been considered the operation of choice for bleeding from esophageal varices associated with portal hypertension, although impossible or inadvisable in many patients. It may be impossible because there is no suitable patent vein in the portal circulation to anastomose to a systemic vein, or inadvisable because the liver function is too seriously impaired for th...

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Six years' experience of oesophageal transection for oesophageal varices, using a circular stapling gun.

Eighty patients with bleeding oesophageal varices, who were considered to be unfit for shunt surgery, were treated by oesophageal transection and subdiaphragmatic devascularisation. The overall hospital mortality was 14% and, after an average follow-up of nearly three years, 69% are still alive. Late recurrent bleeding occurred in 14 patients but varices were shown to be responsible in only fou...

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ژورنال

عنوان ژورنال: Journal of the Royal Society of Medicine

سال: 1983

ISSN: 0141-0768,1758-1095

DOI: 10.1177/014107688307600321