Devascularization and Transection Procedures
نویسنده
چکیده
Transection and devascularization procedures have been by far the most popular operations for the treatment of oesophagogastric varices in Japan during the last two decades and although since the new development of endoscopic sclerotherapy during the last ten years the number of patients treated by operation has decreased considerably, these procedures still remain the treatment of choice in many of the surgical institutions in Japan, especially in good-risk patients with oesophagogastric varices.
منابع مشابه
Clinical factors that influence the outcome of selective devascularization in the treatment of portal hypertension
There is a high incidence of death due to variceal hemorrhage in patients with portal hypertension. Factors to consider when choosing selective devascularization in the treatment of variceal hemorrhage remain a controversy. This study aims to generate the prevalent clinical risk factors that affect the outcomes of selective devascularization procedures. Elucidating these features may guide futu...
متن کاملSclerotherapy Failure Salvage by Oesophageal Transection?
staple transection as a salvage procedure after failure of acute in]ection sclerotherapy. It is not clear which therapy should be used in patients with bleeding esophageal varices that are not controlled by emergency sclerotherapy. This is a high-risk group with reported mortality rates of between 70% and 90%. We report our 7-year experience with staple transection of the esophagus in this pati...
متن کاملLaparoscopic partial gastric transection and devascularization in order to enhance its flow
BACKGROUND Esophagogastric fistula following an esophagectomy for cancer is very common. One of the most important factors that leads to its development is gastric ischemia. We hypothesize that laparoscopic gastric devascularization and partial transection is a safe operation that will enhance the vascular flow of the fundus of the stomach. METHOD Our study included eight pigs. Each animal ha...
متن کاملThe Surgical Treatment for Portal Hypertension: A Systematic Review and Meta-Analysis
Aim. To compare the effectiveness of surgical procedures (selective or nonselective shunt, devascularization, and combined shunt and devascularization) in preventing recurrent variceal bleeding and other complications in patients with portal hypertension. Methods. A systematic literature search of the Medline and Cochrane Library databases was carried out, and a meta-analysis was conducted acco...
متن کاملLaparoscopic splenectomy and porto-azygos disconnection: clinical research in the treatment of portal hypertension
To investigate the safety and efficacy of laparoscopic splenectomy and portaazygous devascularization, we studied laparoscopic splenectomy and porto-azygos devascularization patients within the peri-operative period. Clinical data and curative effect are detailed alongside statistical analysis. The laparoscopic splenectomy and porto-azygos devascularization operation time was 2.56 + 0.62 hours....
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- HPB Surgery
دوره 4 شماره
صفحات -
تاریخ انتشار 1991