Abstract
In attempts to obtain complete control of bleeding esophageal varices, terminal esophago-proximal gastrectomy (TEPG) and its modification proximal gastric transection (PGT) were performed, under endoscopic assistance, in 42 patients with cirrhotic portal hypertension. Complete disappearance of varices was confirmed in all patients at surgery and 4 weeks after surgery, and this condition was maintained for up to 60 months in 15 patients of TEPG and 16 of PGT. Recurrent varices in 3 (17 per cent) TEPG and 8 (34 per cent) PGT were attributed to the advance in the liver cirrhosis in 7, hepatoma in 3 and portal vein thrombosis in 1. In 8 of 11 recurrences, type C variceal blood circulation drained into the cervical veins. Endoscopic assistance during surgical treatment for bleeding esophageal varices plays a decisive role.
Similar content being viewed by others
References
Yamamoto S, Hidemura R, Sawada M, Takeshige K, Iwatsuki S. The late results of terminal esopago-proximal gastrectomy (TEPG) with extensive devascularization and splenectomy for bleeding esophageal varices in cirrhosis. Surgery 1976; 80: 106–114.
Yamamoto S. Proximal gastrectomy: Late results of surgical treatment for esophageal varices. In: Okuda ed. Idiopathic portal hypertension, Tokyo: University of Tokyo Press, 1983; 553–562.
Child CG3, The liver and portal hypertension. Philadelphia and London: WB Saunders, 1964; 48–55.
Japanese Research Society for Portal Hypertension. The general rules for recording endoscopic findings of esophageal varices. Jpn J Surg 1980; 10: 84–87.
Yamamoto S. Classification of esophageal varices based on the outlet blood flow and its clinical significance. Hepatology 1976; 17: 481. (in Japanese)
Takeshige K, Yamamoto S, Arakawa T, Kuroda H, Kawai Y, Fukaya Y. Simultaneous varicography and esophagoscopy performed during terminal esophago-proximal gastrectomy. Nippon Geka Gakkai Zasshi (J Jpn Surg Soc) 1981; 82: 1051–1054. (Ennglish Abstract)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yamamoto, S., Takeshige, K. & Arakawa, T. Endoscope assisted surgery for the treatment of bleeding esophageal varices. The Japanese Journal of Surgery 14, 371–376 (1984). https://doi.org/10.1007/BF02469543
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02469543