[Indications for the surgical treatment of esophageal varices hemorrhage].
The authors present their experience in the treatment of acute bleeding from oesophageal varices. From 1983 to 1991, 596 patients underwent sclerotherapy during diagnostic endoscopy; a stop to bleeding was achieved in 512 cases (86%). Twenty-seven surgical emergency decompressive shunts were performed, 14 total portal-systemic and 13 selective; operative mortality was 64% and 54% respectively. One patient was submitted to oesophageal-gastric devascularization. Hundred-sixty elective shunts were performed, 99 total portal-systemic and 61 selective; operative mortality was 8% and 11% respectively. Since 1990 3 patients received liver transplantation. The 5-year survival rate of patients submitted to selective shunts was 46%; the 5-year survival rate of nonalcoholic cirrhotics submitted to shunt SRD was 73%.
Franchello
A
A
Istituto di Chirurgia d'Urgenza, Università degli Studi di Torino.
Olivero
G
G
Foco
A
A
Enrichens
F
F
Mao
P
P
Benedetto
G
G
D000465:Algorithms; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery; D016031:Liver Transplantation
Indicazioni al trattamento chirurgico dell'emorragia da varici esofagee.