The Japanese journal of surgery

, Volume 10, Issue 4, pp 310–314 | Cite as

Clinical experiences with left gastric vena caval shunt in patients with esophageal varices

  • Yuichiro Ogawa
  • Sozo Hirose
  • Hirofumi Yukaya
  • Naofumi Nagasue
  • Yukiharu Sasaki
  • Kazumasa Morinaga
  • Yukihisa Miyoshi
  • Yoshihiro Seto
Article
  • 33 Downloads

Abstract

Left gastric vena caval shunt (Inokuchi) was performed in four patients with liver cirrhosis; electively in two and prophylactically in two cases. The overall results have been satisfactory in terms of the effect on esophageal varices and postoperative complications. This procedure appeared to be superior to distal splenorenal shunt or other direct surgical procedures in several aspects. Since left gastric vena caval shunt does not require particularly elaborate surgical techniques and can be performed safely even in patients with considerably impaired hepatic function, it can be recommended as an ideal surgical procedure to be performed in elective and prophylactic surgical candidates.

Key Words

selective shunt portal hypertension esophageal varices 

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References

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Copyright information

© The Japan Surgical Society 1980

Authors and Affiliations

  • Yuichiro Ogawa
    • 1
  • Sozo Hirose
    • 1
  • Hirofumi Yukaya
    • 1
  • Naofumi Nagasue
    • 1
  • Yukiharu Sasaki
    • 1
  • Kazumasa Morinaga
    • 1
  • Yukihisa Miyoshi
    • 1
  • Yoshihiro Seto
    • 1
  1. 1.Department of SurgeryHiroshima Red Cross HospitalHiroshimaJapan

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