TITLE

Long-term prognosis of non-shunt operation for idiopathic portal hypertension

AUTHOR(S)
Ohashi, Kaoru; Kojima, Kuniaki; Fukazawa, Masaki; Beppu, Tomoe; Futagawa, Shunji; Ohashi, K; Kojima, K; Fukazawa, M; Beppu, T; Futagawa, S
PUB. DATE
April 1998
SOURCE
Journal of Gastroenterology;1998, Vol. 33 Issue 2, p241
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
This report presents 46 Japanese patients with idiopathic portal hypertension (IPH) in whom non-shunt operation was performed for the management of esophageal varices. Non-shunt operation included transthoracic esophageal transection (Sugiura's procedure) in 37 patients, transabdominal esophageal transection (TAET) in 3 patients, and Hassab's procedure in 6 patients. Rates of postoperative variceal eradication were: 78.4% by Sugiura's procedure; 100% by TAET; and 50% by Hassab's procedure. The cumulative rates for recurrent varices and recurrent bleeding were 3.9%, and 5.1%, respectively, at 5 years, and 8.9% and 9.8% at both 10 and 15 years. Only 3 patients required additional endoscopic injection sclerotherapy to treat recurrent varices. Although 3 patients developed upper gastrointestinal bleeding, the source of hemorrhage was esophageal varices in 1, and portal hypertensive gastropathy in 2; none of the patients died from bleeding. Actuarial survival for all patients was 87.5% at 5 years, 77.9% at 10 years, and 58.8% at 15 years. There were no deaths within the first 30 days after surgery. These results show that non-shunt operation is useful in preventing bleeding from esophageal varices in patients with IPH.
ACCESSION #
4689839

 

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