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Esophageal transection with paraesophagogastric devascularization: surgical treatment of esophageal varices

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Summary

Ninety-eight patients who have undergone transthoracic esophageal transection with paraesophagogastric devascularization are reviewed. Ages ranged from 9 months to 74 years. Over-all operative mortality was 5.1%. Postoperative hemorrhage occurred in 2 patients, a patient with hepatoma and another with incomplete devascularization of the esophagus at the diaphragm. Disappearance of the esophageal varices was seen in 91 (98%) of all 93 survivors.

Low operative mortality rate and low incidence of recurrence of bleeding warrant this technique to be performed as an either emergency or prophylactic measure.

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Authors and Affiliations

  1. Second Department of Surgery, Faculty of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan

    Mitsuo Sugiura M.D., Shunji Futagawa M.D., Fumio Shima M.D., Soroku Ichihara M.D. & Masanobu Ishida M.D.

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  1. Mitsuo Sugiura M.D.
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  2. Shunji Futagawa M.D.
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  3. Fumio Shima M.D.
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  4. Soroku Ichihara M.D.
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  5. Masanobu Ishida M.D.
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Sugiura, M., Futagawa, S., Shima, F. et al. Esophageal transection with paraesophagogastric devascularization: surgical treatment of esophageal varices. Gastroenterol Jpn 9, 23–28 (1974). https://doi.org/10.1007/BF02892451

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  • DOI: https://doi.org/10.1007/BF02892451

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