Endoscopic esophageal variceal sclerotherapy using 3% aqueous phenol

Mathur, S K; Naik, S. R.; Supe, Avinash; Plumber, S T; Pipalia, S.T.; Bhalerao, R A

doi:10.1016/s0016-5107(92)70381-2

Cited by 8 publications

(2 citation statements)

References 19 publications

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“…Mortality in these individuals results from uncontrolled variceal hemorrhage, as liver function is normal, as opposed to patients with cirrhosis of the liver. Though endoscopic variceal sclerotherapy has been successfully employed in achieving long term control of variceal bleeding in this condition [2,3], certain patients require surgery due to failure of sclerotherapy, bleeding fundal gastric varices and hypersplenism. Spleno-renal shunt surgery has shown good results in patients with EHPVO [4,5].…”

Section: Abstract: Portal Hypertension Extrahepatic Portal Venous Obmentioning

confidence: 99%

Results of a Modified Sugiura′s Devascularisation in theManagement of “Unshuntable” Portal Hypertension

Shah

Nagral²,

Mathur³

1998

HPB Surgery

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The results of a modified Sugiura devascularisation procedure were assessed in 14 patients with thrombosis of the portal and splenic vein requiring surgery for variceal hemorrhage, with no vein suitable for orthodox shunt surgery. The venous anatomy was determined by ultrasonography with Doppler studies and portovenography. Liver biochemistry as well as liver architecture on histopathology was normal in all. The surgery was elective in 9 cases for documented bleed from diffuse fundal gastric varices (FGV) and emergency in 5 cases, 3 having bleeding FGV and 2 for failure of emergency esophageal variceal sclerotherapy. All were subjected to a transabdominal extensive devascularisation of the upper two third of the stomach and lower 7–10cm of the esophagus. Stapled esophageal transection (n=11) or esophageal variceal under-running (n=1) was performed in all with esophageal varices. FGV were underrun. Follow up endoscopies were done six monthly. There were 9 males and 5 females with a mean age of 17.2 years (SD 12.8). There was no operative mortality. Acute variceal bleeding was controlled in all patients. Over a mean follow up of 38 months, all but one remain free of recurrent bleeding. We conclude that a modified Sugiura devascularisation procedure is effective in the immediate and medium term control of variceal bleeding in patients with “unshuntable” portal hypertension.

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Section: Abstract: Portal Hypertension Extrahepatic Portal Venous Obmentioning

confidence: 99%

Results of a Modified Sugiura′s Devascularisation in theManagement of “Unshuntable” Portal Hypertension

Shah

Nagral²,

Mathur³

1998

HPB Surgery

View full text Add to dashboard Cite

show abstract

“…Oesophageal varices were graded from one to four as per Conn's classification 2 . Three per cent aqueous phenol was used as sclerosant and EVS was performed as per protocol described earlier 3 . In brief, a freehand intravariceal technique was used.…”

Section: Methodsmentioning

confidence: 99%