title: Modified Sugiura Operation for Idiopathic Portal Hypertension with Bleeding Oesophageal Varices. A Case Report.
abstract: A case of a 36 years old man presenting massive upper GI bleeding due to oesophageal varices developed in the context of an idiopathic portal cavernoma and extensive porto-splenic thrombosis is discussed. He underwent a successful modified Sugiura operation (oesophago-gastric devascularisation and splenectomy [OGDS]) completed with interventional endoscopic treatment of residual oesophageal varices. The benefit of the modified Sugiura procedure proposed for the treatment of upper GI variceal bleeding developed in the context of splanchnic venous thrombosis is discussed. The procedure is a valid therapy in the treatment of symptomatic extra-hepatic hypertension when other options are inapplicable.
authors.affiliation: Department of Abdominal and Transplantation Surgery, Université catholique de Louvain (UCL) University Hospitals Saint Luc, Brussels, Belgium.
authors.forename: A-V
authors.initials: AV
authors.lastname: Schettini
authors.forename: R S
authors.initials: RS
authors.lastname: Pinheiro
authors.forename: P
authors.initials: P
authors.lastname: Pescatore
authors.forename: J
authors.initials: J
authors.lastname: Lerut
mesh_terms: D000328:Adult; D000465:Algorithms; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery*; D004947:Esophagus / Q000098:blood supply*; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D008103:Liver Cirrhosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D010198:Pancytopenia / Q000209:etiology / Q000601:surgery*; D013156:Splenectomy / Q000379:methods*; D013163:Splenomegaly / Q000209:etiology / Q000601:surgery*; D013270:Stomach / Q000098:blood supply*; D020246:Venous Thrombosis / Q000150:complications; D000094724:Idiopathic Noncirrhotic Portal Hypertension