title: [Azygoportal interruption, fundoplication and vagotomy in hemorrhagic esophageal varices].
abstract: A vascular interruption to the azygoportal zone, achieved by devascularisation about the cardia and a closed transmural ligation of the varices is described, which is combined with a simultaneous truncal vagotomy, pyloroplasty procedure and a fundoplication. This fourfold method combats the bleeding varices at several points: a direct disruption of vascular paths, haemodynamic control, reduced influence of peptic factors, the management of coincident ulcer pathology and the prevention of gastro-oesophageal reflux. The results from 5 patients are encouraging. This abdominal operation is swift, comparatively atraumatic and may be undertaken in emergency cases and in at-risk patients on an elective basis.
mesh_terms: D002299:Cardia / Q000098:blood supply*; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D005069:Evaluation Studies as Topic; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008722:Methods; D011708:Pylorus / Q000601:surgery*; D014628:Vagotomy
vernacular_title: Azygoportale Unterbrechung, Fundoplikatio und Vagotomie gegen Osophagusvarizenblutung.