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[Subtotal gastric devascularization for hemorrhage caused by the rupture of gastric varices in cirrhotic patients].
J Chir (Paris). 1990 Oct; 127(10):452-5.JC

Abstract

Hemorrhages caused by gastric varices are a real therapeutic problem in cirrhotic patients. We resort to gastric devascularization in such cases. In 5 of our patients, this devascularization was subtotal, preserving only the pyloric pedicle. Two patients died of liver failure, one immediately after the operation and the other during the second month. The other patients are still living and have not bled again after 9, 12 and 17 months, respectively. Three of the 5 operated patients presented with ischemia of the gastric mucosa postoperatively. In our opinion, the principle of gastric devascularization to an extent still to be defined seems to be an interesting way of treatment these hemorrhages, which are caused by the rupture of gastric varices due to overall portal hypertension.

Authors+Show Affiliations

Feneyrou B
Service de Chirurgie Viscérale, Hôpital Lapeyronie, Montpellier.
Prioton JB
No affiliation info available

MeSH

AgedEsophageal and Gastric VaricesFollow-Up StudiesGastrointestinal HemorrhageHumansHypertension, PortalLiver CirrhosisLiver Cirrhosis, AlcoholicMaleMiddle AgedRupture

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

2262518

Citation

Feneyrou, B, and J B. Prioton. "[Subtotal Gastric Devascularization for Hemorrhage Caused By the Rupture of Gastric Varices in Cirrhotic Patients]." Journal De Chirurgie, vol. 127, no. 10, 1990, pp. 452-5.
Feneyrou B, Prioton JB. [Subtotal gastric devascularization for hemorrhage caused by the rupture of gastric varices in cirrhotic patients]. J Chir (Paris). 1990;127(10):452-5.
Feneyrou, B., & Prioton, J. B. (1990). [Subtotal gastric devascularization for hemorrhage caused by the rupture of gastric varices in cirrhotic patients]. Journal De Chirurgie, 127(10), 452-5.
Feneyrou B, Prioton JB. [Subtotal Gastric Devascularization for Hemorrhage Caused By the Rupture of Gastric Varices in Cirrhotic Patients]. J Chir (Paris). 1990;127(10):452-5. PubMed PMID: 2262518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Subtotal gastric devascularization for hemorrhage caused by the rupture of gastric varices in cirrhotic patients]. AU - Feneyrou,B, AU - Prioton,J B, PY - 1990/10/1/pubmed PY - 1990/10/1/medline PY - 1990/10/1/entrez SP - 452 EP - 5 JF - Journal de chirurgie JO - J Chir (Paris) VL - 127 IS - 10 N2 - Hemorrhages caused by gastric varices are a real therapeutic problem in cirrhotic patients. We resort to gastric devascularization in such cases. In 5 of our patients, this devascularization was subtotal, preserving only the pyloric pedicle. Two patients died of liver failure, one immediately after the operation and the other during the second month. The other patients are still living and have not bled again after 9, 12 and 17 months, respectively. Three of the 5 operated patients presented with ischemia of the gastric mucosa postoperatively. In our opinion, the principle of gastric devascularization to an extent still to be defined seems to be an interesting way of treatment these hemorrhages, which are caused by the rupture of gastric varices due to overall portal hypertension. SN - 0021-7697 UR - https://www.unboundmedicine.com/medline/citation/2262518/[Subtotal_gastric_devascularization_for_hemorrhage_caused_by_the_rupture_of_gastric_varices_in_cirrhotic_patients]_ DB - PRIME DP - Unbound Medicine ER -