Present position of non-shunt surgery for bleeding oesophageal varices
Peracchia, A.; Roncoroni, L.; Montanari, M.; Morosini, S.; Gritti, C.
L'Ateneo Parmense. Acta Bio-Medica Organo Della Societa di Medicina e Scienze Naturali di Parma 47(4): 379-395
1976
ISSN/ISBN: 1123-7325 PMID: 1088067 Document Number: 109212
This is a critical retrospective study of a homogeneous group of 24 patients with hepatic cirrhosis and portal hypertension who underwent emergency surgery for bleeding oesophageal varices. The adopted procedure was the porta-azygos disconnection, according to Torres-Degni, with or without splenectomy. The criterion derived from the need to stop bleeding, from contraindications to a portal-systemic shunt, or from other situations which are illustrated. The difficulty of selecting in these cases the appropriate surgery and the high operative death rate (46%) is commented. In survivors, the long-term outcome depends on the progress of the underlying liver disease.