[Surgical treatment of hemorrhage of esophageal varices secondary to thrombosis of the portal vein].
The Sugiura Procedure (SP) was performed in 27 patients with hemorrhagic portal hypertension secondary to extrahepatic portal vein thrombosis without associated liver disease (EPVT). There were fourteen females and 13 males. Mean age was 28 +/- 14 years. The causes of EPVT were: protein C deficiency-2 cases, antithrombin III deficiency-1 case, omphalitis history-2 cases, pancreatitis history-1 case and idiopathic-21 cases. The SP was completed with two surgical stages in 14 patients and with one operation in nine. There was one operative death. One patient developed mild postoperative encephalopathy, and two patients re-bled at long-term. Actuarial survival was 82% at five and ten years. It is concluded that the SP is a good alternative for the management of hemorrhagic portal hypertension secondary to EPVT.
Orozco-Zepeda
H
H
División de Cirguia, Cliníca de Hipertensión Portal, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
Takahashi
T
T
Angel Mercado
M
M
García-Tsao
G
G
Hernández-Ortiz
J
J
D000328:Adult; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000209:etiology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008107:Liver Diseases / Q000150:complications; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D013927:Thrombosis / Q000150:complications*
Tratamiento quirúrgico de la hemorragia por várices esofágicas secundarias a trombosis de la vena porta.