Abstract
The surgical morbidity, mortality, and effectiveness of a modified nonshunting operation that includes splenic artery division instead of splenectomy, devascularization, and esophageal transection (SAD group) were evaluated. Eighteen cirrhotic patients with varices who underwent this modified procedure were compared with 54 patients treated with a conventional nonshunting operation (splenectomy group). Results show that immediate effects on portal pressure and preservation of portal perfusion between the two groups were similar. The operative time is shorter (p<0.05), and the bleeding amount is less (p<0.005) in the SAD group than in the splenectomy group. No surgical mortality and no major complications were noted in the SAD group. A surgical mortality of 2.3% and 30% was noted for the elective and emergency operations of the splenectomy group, respectively. There was no encephalopathy in the SAD group but one in the splenectomy group. Recurrent bleeding occurred in three patients of the splenectomy group 1 year after surgery but none in the SAD group. These data indicate that this modified procedure is a simple and effective operation with few complications for esophageal varices.
| Original language | English |
|---|---|
| Pages (from-to) | 424-429 |
| Number of pages | 6 |
| Journal | World journal of surgery |
| Volume | 19 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1995 May 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Simple, effective procedure with few complications for esophageal varices. / Lin, Pin Wen; Tsai, Hong-Ming; Lin, Ching Yin; Chiu, Nan-Tsing.
In: World journal of surgery, Vol. 19, No. 3, 01.05.1995, p. 424-429.Research output: Contribution to journal › Article
TY - JOUR
T1 - Simple, effective procedure with few complications for esophageal varices
AU - Lin, Pin Wen
AU - Tsai, Hong-Ming
AU - Lin, Ching Yin
AU - Chiu, Nan-Tsing
PY - 1995/5/1
Y1 - 1995/5/1
N2 - The surgical morbidity, mortality, and effectiveness of a modified nonshunting operation that includes splenic artery division instead of splenectomy, devascularization, and esophageal transection (SAD group) were evaluated. Eighteen cirrhotic patients with varices who underwent this modified procedure were compared with 54 patients treated with a conventional nonshunting operation (splenectomy group). Results show that immediate effects on portal pressure and preservation of portal perfusion between the two groups were similar. The operative time is shorter (p<0.05), and the bleeding amount is less (p<0.005) in the SAD group than in the splenectomy group. No surgical mortality and no major complications were noted in the SAD group. A surgical mortality of 2.3% and 30% was noted for the elective and emergency operations of the splenectomy group, respectively. There was no encephalopathy in the SAD group but one in the splenectomy group. Recurrent bleeding occurred in three patients of the splenectomy group 1 year after surgery but none in the SAD group. These data indicate that this modified procedure is a simple and effective operation with few complications for esophageal varices.
AB - The surgical morbidity, mortality, and effectiveness of a modified nonshunting operation that includes splenic artery division instead of splenectomy, devascularization, and esophageal transection (SAD group) were evaluated. Eighteen cirrhotic patients with varices who underwent this modified procedure were compared with 54 patients treated with a conventional nonshunting operation (splenectomy group). Results show that immediate effects on portal pressure and preservation of portal perfusion between the two groups were similar. The operative time is shorter (p<0.05), and the bleeding amount is less (p<0.005) in the SAD group than in the splenectomy group. No surgical mortality and no major complications were noted in the SAD group. A surgical mortality of 2.3% and 30% was noted for the elective and emergency operations of the splenectomy group, respectively. There was no encephalopathy in the SAD group but one in the splenectomy group. Recurrent bleeding occurred in three patients of the splenectomy group 1 year after surgery but none in the SAD group. These data indicate that this modified procedure is a simple and effective operation with few complications for esophageal varices.
UR - http://www.scopus.com/inward/record.url?scp=0029038445&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029038445&partnerID=8YFLogxK
U2 - 10.1007/BF00299180
DO - 10.1007/BF00299180
M3 - Article
C2 - 7639000
AN - SCOPUS:0029038445
VL - 19
SP - 424
EP - 429
JO - World Journal of Surgery
JF - World Journal of Surgery
SN - 0364-2313
IS - 3
ER -