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Highly selective devascularization for bleeding oesophagogastric varices
Y M Yassin1, M S Eita, M el-Mirghani
1Gastroenterology Unit, Kobri-El-Kobba Armed Forces Hospital, Cairo, Egypt.
The British Journal of Surgery
|February 1, 1994
Summary
Highly selective devascularization effectively treated bleeding oesophagogastric varices in 419 patients. This surgical approach demonstrated low mortality and manageable rebleeding rates, preserving hepatic function.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Hepatology
Background:
- Oesophagogastric varices pose a significant bleeding risk.
- Effective management strategies are crucial for patient outcomes.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of highly selective devascularization for bleeding oesophagogastric varices.
Main Methods:
- A cohort of 419 patients underwent highly selective devascularization between 1975 and 1984.
- Long-term follow-up (5-10 years) was conducted for mortality, recurrent bleeding, and survival rates.
Main Results:
- Overall mortality rates were 8% for urgent and 2% for elective operations.
- Recurrent bleeding rates at 1, 5, and 10 years were 8%, 13%, and 17% respectively.
- Survival rates at 1, 5, and 10 years were 87%, 76%, and 57%.
Conclusions:
- Highly selective devascularization is an effective treatment for bleeding oesophagogastric varices.
- The procedure demonstrates acceptable long-term outcomes regarding mortality and rebleeding.
- Hepatic function is preserved following this surgical intervention.