Transection and devascularization procedures for bleeding from oesophagogastric varices.
Transection and devascularization procedures (Sugiura procedure and transabdominal transection of oesophagus and devascularization) had been the most popular modality of treatment for oesophagogastric varices until the 1970s but the trends of treatment for varices have changed drastically during the last decade. This is partly due to the recent development of endoscopic sclerotherapy and partly due to the patient's increasing demand for less invasive treatment. Recently most patients with oesophagogastric varices are treated initially by endoscopic sclerotherapy and surgical treatment is only called for after sclerotherapy has failed.
Idezuki
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Y
2nd Department of Surgery, University of Tokyo, Faculty of Medicine, Japan.
D004932:Esophageal and Gastric Varices / Q000401:mortality / Q000601:surgery*; D004946:Esophagostomy; D004947:Esophagus / Q000098:blood supply*; D006471:Gastrointestinal Hemorrhage / Q000401:mortality / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis; D013270:Stomach / Q000098:blood supply*; D013528:Surgical Staplers; D015996:Survival Rate; D014680:Veins / Q000601:surgery