Document Detail


Highly selective devascularization for bleeding oesophagogastric varices.
MedLine Citation:
PMID:  8156348     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1975 and 1984, 419 patients with bleeding oesophagogastric varices were subjected to the simplified operation of highly selective devascularization. All but three were available for follow-up at 5-10 years. The overall mortality rates for urgent and elective operation were 8 and 2 per cent respectively. The overall recurrent bleeding rates at 1, 5 and 10 years were 8 per cent, 13 per cent (15 per cent of survivors) and 17 per cent (24 per cent of survivors). The overall survival rates at 1, 5 and 10 years were 87, 76 and 57 per cent. Recurrent bleeding was usually controlled by endoscopic sclerotherapy and less often by reoperation. Highly selective devascularization controlled bleeding in emergency and elective situations without compromising hepatic function.
Authors:
Y M Yassin; M S Eita; M el-Mirghani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  81     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-05-19     Completed Date:  1994-05-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  245-7     Citation Subset:  AIM; IM    
Affiliation:
Gastroenterology Unit, Kobri-El-Kobba Armed Forces Hospital, Cairo, Egypt.
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MeSH Terms
Descriptor/Qualifier:
Adult
Esophageal and Gastric Varices / mortality,  surgery*
Esophagus / blood supply*
Follow-Up Studies
Gastrointestinal Hemorrhage / mortality,  surgery*
Humans
Middle Aged
Prognosis
Recurrence
Stomach / blood supply*
Survival Rate
Vascular Surgical Procedures / mortality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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