[Experiences and results in the surgical management of bleeding esophageal varices using fundectomy]

1966, 1967, and 1971 we published the good results with the "Transsectionsligature" of bleeding esophageal varices. The bleeding segment is nearly in all cases the angiomusculare strech closure segment in the terminal portion. In the last 27 patients we used the fundektomie of the stomach together with a splenektomie to stop the bleeding. Fundektomie abolished ulcusdisposition and splenektomie diminished the development of anaemia. Encephalopathy does not occur after these operations. All patients with a healthy liver remained alive. Cirrhotic patients come to death through their poor liver function. The selection of patients is the remaining problem.