Bleeding esophageal varices: evaluation of medical and emergency surgical treatment
Ruiz Curiel, R.E.; Guirola, E.; Gonzalez, J.C.
G.E.N 34(1): 55-63
1980
ISSN/ISBN: 0016-3503 PMID: 6778768 Document Number: 167606
The results of medical and emergency surgical treatment of 55 patients with bleeding esophageal varices were studied. Eighteen patients died (32.7%). Mortality relates to the severity of the liver disease and the number of blood transfusions required. There was a high incidence of recurrent hemorrhage. We recommend definitive porto-sistemic shunt after the bleeding episode has been controled.
Document emailed within 1 workday
Related Documents
Röher, H.D.; Gladisch, R.; Encke, A.; Henningsen, B. 1976: Surgical emergency treatment of bleeding esophageal varices using the Boerema button transsection ligature Die Medizinische Welt 27(38): 1778-1780Scripcariu, V.; Dragomir, C. 2000: The value of oesophageal transection and staple gun anastomosis in the elective or emergency treatment of esophageal varices bleeding Chirurgia 95(5): 425-428
Tajiri, T.; Onda, M.; Umehara, M.; Yoshida, H.; Yamashita, K.; Kim, D.Y.; Mamada, Y. 1989: Management of bleeding esophageal varices--efficacy of emergency embolization therapy Nihon Geka Gakkai Zasshi 90(9): 1541-1544
Forni, E.; Borri, A.M.; Clerico, D.; Voltolini, F. 1982: Treatment of bleeding esophageal varices by esophago-gastric devascularization and esophageal transection with EEA stapler Chirurgia Italiana 34(6): 851-860
Szczepanik, A.B.; Misiak, A.; Meissner, A.J. 2007: Emergency sclerotherapy in esophageal varices bleeding: prospective study in unselected patients with portal hypertension Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego 22(131): 354-356
Giordani, M.; Ravo, B.; Sacchi, M.; Smith, N.; Ger, R. 1985: Treatment of bleeding esophageal varices by portoazygos disconnection and esophageal transection with the button of Boerema and EEA stapler: ten years' experience Surgery 97(6): 649-652
Brunswig, D.; Liehr, H. 1973: Treatment of coagulopathies accompanying bleeding from esophageal varices Leber Magen Darm 3(6): 249-252
Mihók, G.; Horányi, J.; Máthé, Z.; Forgács, A. 1980: Endoscopic sclerosing treatment of bleeding esophageal varices Orvosi Hetilap 121(10): 569-570
Walden, R.; Adar, R. 1978: Treatment of bleeding esophageal varices not by portacaval shunt Harefuah 95(3-4): 124-127
García-Samaniego, J.; Castaños-Mollor, R.; Moreno-Otero, R.; Téllez, C.; Cortés, J.R.; Maté, J.; Pajares, J.M. 1993: Effectiveness of endoscopic sclerotherapy in the treatment of bleeding esophageal varices Revista Clinica Espanola 192(1): 7-10
Berard, P. 1982: Surgical treatment of esophageal varices: thoracic esophageal ligation on a clip introduced by oral way Acta Chirurgica Belgica 82(4): 417-421
Prioton, J.B.; Feneyrou, B.; Daures, J.P.; Michel, H.; Bories, P.; Blanc, F. 1988: Treatment of hemorrhage caused by rupture of esophageal varices in the cirrhotic patient: remote results of a practical controlled study comparing the esophageal clip to conventional medical treatment Annales de Gastroenterologie et d'Hepatologie 24(1): 1-5
Chaib, S.A.; Souza Lessa, B.; Cecconello, I.; Felix, W.N.; Chaib, E. 1983: A new procedure for the treatment of bleeding esophageal varices by transgastric azygo-portal disconnection International Surgery 68(4): 353-356
Eigenmann, F. 1995: Esophageal varices. Drug treatment of recurrent bleeding and its prevention: beta blockers Praxis 84(51-52): 1544
Kogo, M.; Sato, N.; Yoneyama, K.; Imawari, M.; Kiuchi, Y. 2007: Bleeding index after the first course of endoscopic treatment for esophageal varices in liver cirrhotic patients with and without hepatocellular carcinoma Hepato-Gastroenterology 54(79): 2049-2054
Weese, J.L.; Starling, J.R.; Yale, C.E. 1984: Control of bleeding esophageal varices by transabdominal esophageal transection, gastric devascularization, and splenectomy Surgical Gastroenterology 3(1): 31-36
Yu, T.J.; Cheng, K.K.; Leong, K.H.; Lin, Y.L.; Lai, S.T.; Kuo, S.M. 1983: Transabdominal esophageal mucosal transection by using an auto-suture device (Takasago F-3000) in management of bleeding esophageal varices Journal of the Formosan Medical Association 82(4): 536-545
Møller, S.; Bendtsen, F.; Christensen, E.; Henriksen, J.H. 1995: Prediction of bleeding risks and death in cirrhosis based on hemodynamic and metabolic variables. a study of patients with esophageal varices without previous bleeding Ugeskrift for Laeger 157(39): 5389-5393
Lens, J. 1981: Surgical treatment of patients with hemorrhage from esophageal varices Nederlands Tijdschrift Voor Geneeskunde 125(17): 661-668
Aschberg, S. 1974: Bleeding esophageal varices Lakartidningen 71(49): 5063-5070