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Related Experiment Videos

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
PubMed
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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.

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  • 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.