Simple, effective procedure with few complications for esophageal varices

Pin Wen Lin, Hong-Ming Tsai, Ching Yin Lin, Nan-Tsing Chiu

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish
Pages (from-to)424-429
Number of pages6
JournalWorld journal of surgery
Volume19
Issue number3
DOIs
Publication statusPublished - 1995 May 1

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Esophageal and Gastric Varices
Splenectomy
Mortality
Hemorrhage
Splenic Artery
Portal Pressure
Varicose Veins
Brain Diseases
Operative Time
Emergencies
Perfusion
Morbidity

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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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.",
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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 journalArticle

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