[Surgical treatment of hemorrhage caused by rupture of esophageal varices. Circular sclerosis of the lower esophagus by a clip introduced by the oral approach and ligation by the thoracic approach to the peri-esophageal veins. Results of 108 cases surgically treated in the last 5 years].
This method of treating hemorrhage from ruptured esophageal varices gives excellent results in cases usually reserved for treatment by portocaval shunts, as well as patients with the usual contraindications to shunt operations. If it is possible without transfusion, and with a single assistant, to definitely stop hemorrhage from ruptured esophageal varices in one hour, then the method is of even greater merit, particularly knowing that the thoracotomy used leaves the untouched abdominal cavity accessible to any possible secondary operation due to progression of portal hypertension and/or hepatic insufficiency. At the request of numerous surgeons in France and from abroad, therefore, a demand has been made to manufacture the apparatus used at the present time after its development over 5 years.
D003250:Constriction; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D004947:Esophagus / Q000098:blood supply; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods; D011183:Postoperative Complications / Q000401:mortality; D012422:Rupture, Spontaneous; D014680:Veins / Q000601:surgery
Traitement chirurgical des hémorragies par rupture de varices oesophagiennes. Sclérose circulaire du bas oesophage par un clip introduit par voie orale et ligature par voie thoracique des veines péri-oesophagiennes. Résultats de 108 cas opérés depuis 5 ans.