Document Detail

What happens to esophageal varices after transection and devascularization?
MedLine Citation:
PMID:  3576445     Owner:  NLM     Status:  MEDLINE    
In 14 patients who underwent endoscopic examination after esophageal transection and proximal gastric devascularization, varices disappeared in seven patients, were reduced in diameter or number in six patients, and were unchanged in one patient. No varices were present in any patient within 1 cm of the stapled anastomosis, and Doppler studies showed no flow in residual varices. During a mean follow-up of 20 months (range: 6 to 44 months), varices recurred in three patients and enlarged in five others. This study suggests that variceal obliteration, a reduction in variceal diameter, the removal of the bleeding zone in the esophagus, and undetectable blood flow in residual varices all contribute to the prevention of variceal rebleeding; although these changes are not always permanent, the return to the preoperative state may take many years.
S W Hosking; A G Johnson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  101     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1987 May 
Date Detail:
Created Date:  1987-05-26     Completed Date:  1987-05-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  531-4     Citation Subset:  AIM; IM    
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MeSH Terms
Esophageal and Gastric Varices / surgery*
Esophagogastric Junction
Esophagus / surgery
Follow-Up Studies
Middle Aged
Stomach / blood supply
Surgical Staplers
Time Factors

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

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