Transabdominal Gastro‐esophageal Devascularization and Esophageal Transection for Bleeding Esophageal Varices after Failed Injection Sclerotherapy: Long‐Term Follow‐Up Report

Abstract

TGDET remains a safe and effective procedure after failure of sclerotherapy when other alternatives are either not indicated or not available.

Long‐term Results with the Modified Sugiura Procedure for the Management of Variceal Bleeding: Standing the Test of Time in the Treatment of Bleeding Esophageal Varices

“…The reported incidence of recurrent varices ranges from 17 to 37% [30][31][32][33][34]. In case of recurrence of esophageal varices, the incidence of rebleeding varies from 30 to 40% [18,30,35,36].…”

“…In addition, several authors suggest that esophageal transection is not essential for the effective control of variceal hemorrhage, avoiding anastomotic leaks in about 20% and death from these leaks in up to 50–66% of all patients [20, 39, 40]. The postoperative encephalopathy rate was 6.5% indicating that devascularization is not associated with a high risk of encephalopathy, which can be as high as 30% in portosystemic shunt procedures and 15% in selective distal splenorenal shunt [31, 41].…”

Evaluation of Non-endoscopic Parameters for the Detection of Esophageal Varices in Patients of Liver Cirrhosis, Confirmed by Endoscopy

“…1 Despite improvement in diagnosis and therapy, mortality from acute variceal bleeding may still reach up to 20%. [2][3][4][5] The grade of esophageal varices often correlates with the severity of liver disease. While approximately 85% of individuals with Child Pugh C cirrhosis have varices, they are present in only 45% those with Child-Pugh A cirrhosis.…”

Surgical Tactics for Failure of Stapler Esofago-Esofagoanastomosis During Esophagastric Devascularization

“…Согласно данным ряда хирургов, частота развития несостоятельности в зоне степлерного эзофаго-эзофагоанастомоза при выполнении модифицированной операции азигопортального разобщения Sugiura открытым способом составляет 6-22% случаев [34,35,36,37,38], частота развития кровотечений из зоны анастомоза достигает 50% [38,39], частота образования стриктуры в области анастомоза составляет 10-28% [36,40,41,42].…”