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Die transabdominale Sperroperation bei akuter therapieresistenter Ösophagusvarizenblutung

The transabdominal devascularization procedure for therapyresistant hemorrhage of esophageal varices

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Zusammenfassung

Zur Behandlung von Ösophagusvarizenblutungen wird bei Versagen der klassischen Therapiemöglichekeiten die transabdominale Sperroperation nachHassab in der folgenden Modifikation empfohlen. Zur Vermeidung von Nekrosen des devaskularisierten Fundusareals wird der Fundus eingestülpt. Bei 8 Fällen kam es postoperativ nur einmal zu einer leichten Blutung (1 postoperativer Exitus wegen respiratorischer Insuffizienz).

Summary

For treatment of bleeding esophageal varices a modification ofHassab's devascularization procedure is recommended if the standard therapy fails. For prevention of necrosis of the devascularized fundus this area is turned inward. Only in one of 8 cases mild postoperative bleeding was observed, one case was lost postoperatively because of respiratory insufficiency.

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Authors and Affiliations

  1. I. Chirurgische Universitätsklinik Wien, Alser Straße 4, A-1097, Wien

    R. Rauhs, J. Funovics & W. H. Appel

Authors
  1. R. Rauhs
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  2. J. Funovics
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  3. W. H. Appel
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Rauhs, R., Funovics, J. & Appel, W.H. Die transabdominale Sperroperation bei akuter therapieresistenter Ösophagusvarizenblutung. Acta Chir Austriaca 14, 1–4 (1982). https://doi.org/10.1007/BF02601766

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  • DOI: https://doi.org/10.1007/BF02601766

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