Esophago-gastric dissociation complicating devascularization procedure for portal hypertension.
Devascularization surgery for portal hypertension, indicated in selected patients, is considered safe. A 15-year-old boy with cirrhosis underwent elective modified Sugiura's devascularization procedure for secondary prophylaxis of variceal bleeding. He developed esophago-gastric dissociation, which was successfully managed with emergency feeding jejunostomy and restoration of gut continuity three months later.
Sharma
Dhananjaya
D
Department of Surgery, NSCB Government Medical College, Jabalpur, MP. dhanshar@hotmail.com
Saxena
Arjun
A
Raina
Vijay K
VK
D000293:Adolescent; D004935:Esophageal Diseases / Q000209:etiology*; D004932:Esophageal and Gastric Varices / Q000517:prevention & control; D006471:Gastrointestinal Hemorrhage / Q000517:prevention & control; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D013272:Stomach Diseases / Q000209:etiology*; D013537:Sutures