Excision of oesophageal varices

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Excision of oesophageal varices.

After treating bleeding oesophageal varices for a number of years, mainly by porta caval shunts with oesophageal and gastric transections as a second line of treatment, it was realized that the fact that varices in the intestinal tract are localized could be made use of in their surgical treatment. Bleeding from the rectum in portal hypertension is rare and it never seems to occur from the smal...

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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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Modern management of oesophageal varices.

Haemorrhage from oesophageal varices is a life threatening emergency with a mortality rate in the order of 30%-50%. In the last three decades there have been many advances in the treatment and prevention of variceal bleeding. Over recent years the introduction of new pharmaceutical agents that reduce portal pressure, endoscopic variceal ligation, transjugular intrahepatic portosystemic shunt, a...

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Fibreoptic injection of oesophageal varices.

A new technique for injecting sclerosant into oesophageal varices uses a flexible gastroscope. Once the gastroscope has been inserted a flexible tube with a window cut into its distal end is pushed down over the gastroscope until a varix protrudes through the window. The varix can then be injected with a needle passed down the biopsy channel of the gastroscope. Once the varices have all been in...

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ژورنال

عنوان ژورنال: Thorax

سال: 1969

ISSN: 0040-6376

DOI: 10.1136/thx.24.4.435