Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Modified Sujura operation: long-term results

G Battaglia¹, E Ancona, E Patarnello

¹Department of General Surgery II, University of Padua, Italy.

World Journal of Surgery

|March 1, 1996

Summary

The modified Sujura

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Association of quantitative MRI-based radiomic features with prognostic factors and recurrence rate in oropharyngeal squamous cell carcinoma.

Neoplasma·2020

Same author

A prospective multicenter study on laparoscopic treatment of gastroesophageal reflux disease in Italy : Type of surgery, conversions, complications, and early results.

Surgical endoscopy·2017

Same author

Postoperative outcome after oesophagectomy for cancer: Nutritional status is the missing ring in the current prognostic scores.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2015

Same author

Effect of preoperative chemoradiotherapy on outcome of patients with locally advanced esophagogastric junction adenocarcinoma-a pilot study.

Current oncology (Toronto, Ont.)·2014

Same author

Shorter myotomy on the gastric site (≤2.5 cm) provides adequate relief of dysphagia in achalasia patients.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2014

Same author

Programmed cell death 4 nuclear loss and miR-21 or activated Akt overexpression in esophageal squamous cell carcinogenesis.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2011

Area of Science:

Gastroenterology
Surgical Gastroenterology
Hepatology

Background:

Portal hypertension is a serious complication of liver disease.
Esophageal varices are a common and life-threatening manifestation of portal hypertension.
Effective surgical management is crucial for improving outcomes.

Purpose of the Study:

To evaluate the efficacy and safety of a modified Sujura's operation for treating portal hypertension.
To assess the rates of rebleeding, mortality, and long-term survival after the procedure.

Main Methods:

A cohort of 93 patients with portal hypertension and esophageal varices underwent a modified Sujura's operation between 1980 and 1986.
The surgical technique involved devascularization, pyloric divulsion, esophagogastric resection and anastomosis, and antireflux fundoplication.
Splenectomy was added for severe hypersplenism.

Main Results:

Early mortality was 19.8%, with higher rates in emergency operations (27.2%).
Long-term follow-up showed a 36.6% rebleeding rate, with esophageal varices and hemorrhagic gastritis being common causes.
Five-year survival for elective procedures was 59.2%, and 10-year survival was 40.7%.

Conclusions:

The modified Sujura's operation is a viable option for managing portal hypertension, but carries significant risks of early mortality and late rebleeding.
Careful patient selection and management of complications are essential for optimizing outcomes.
Further research into alternative or adjunct therapies may be warranted.

Related Experiment Videos