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[Digestive hemorrhage caused by rupture of esophageal varices. Analysis of 47 emergency surgeries].
Ann Chir. 1989; 43(10):799-803.AC

Abstract

Between 1 January 1984 and 31 December 1986, 47 patients out of a total of 228 patients admitted to hospital with endoscopy-proven bleeding esophageal varices, underwent an emergency operation. The indications were massive hemorrhage in 29 patients, and rebleeding early after a first serious episode in 18 patients. Four patients underwent early reoperation for recurrent variceal bleeding. Thirty-seven porto-caval shunts, 10 esophageal transections, 3 proximal gastric resections and 1 exploratory laparotomy were performed. The early results were satisfactory in 53.2% of the patients; operative morbidity and mortality were 19.1% and 27.7% respectively. Four patients died from gastric variceal bleeding soon after esophageal transection. Operative mortality was greater when the patient was Child C or operated for massive hemorrhage. Survivors were followed for at least 12 months. Two patients died from shunt occlusion and recurrent variceal bleeding. No severe encephalopathy was reported. Analysis of the results suggest that porto-caval shunt is indicated in Child A or B patients, particularly with recurrent variceal bleeding soon after a first episode controlled medically.

Authors

Bokobza B
No affiliation info available
Defives T
No affiliation info available
Duhamel C
No affiliation info available
Leblanc I
No affiliation info available
Michot F
No affiliation info available
Tenière P
No affiliation info available

MeSH

AdultAgedAnastomosis, SurgicalEmergenciesEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHumansLiver CirrhosisMaleMiddle AgedRupture, Spontaneous

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

2619210

Citation

Bokobza, B, et al. "[Digestive Hemorrhage Caused By Rupture of Esophageal Varices. Analysis of 47 Emergency Surgeries]." Annales De Chirurgie, vol. 43, no. 10, 1989, pp. 799-803.
Bokobza B, Defives T, Duhamel C, et al. [Digestive hemorrhage caused by rupture of esophageal varices. Analysis of 47 emergency surgeries]. Ann Chir. 1989;43(10):799-803.
Bokobza, B., Defives, T., Duhamel, C., Leblanc, I., Michot, F., & Tenière, P. (1989). [Digestive hemorrhage caused by rupture of esophageal varices. Analysis of 47 emergency surgeries]. Annales De Chirurgie, 43(10), 799-803.
Bokobza B, et al. [Digestive Hemorrhage Caused By Rupture of Esophageal Varices. Analysis of 47 Emergency Surgeries]. Ann Chir. 1989;43(10):799-803. PubMed PMID: 2619210.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Digestive hemorrhage caused by rupture of esophageal varices. Analysis of 47 emergency surgeries]. AU - Bokobza,B, AU - Defives,T, AU - Duhamel,C, AU - Leblanc,I, AU - Michot,F, AU - Tenière,P, PY - 1989/1/1/pubmed PY - 1989/1/1/medline PY - 1989/1/1/entrez SP - 799 EP - 803 JF - Annales de chirurgie JO - Ann Chir VL - 43 IS - 10 N2 - Between 1 January 1984 and 31 December 1986, 47 patients out of a total of 228 patients admitted to hospital with endoscopy-proven bleeding esophageal varices, underwent an emergency operation. The indications were massive hemorrhage in 29 patients, and rebleeding early after a first serious episode in 18 patients. Four patients underwent early reoperation for recurrent variceal bleeding. Thirty-seven porto-caval shunts, 10 esophageal transections, 3 proximal gastric resections and 1 exploratory laparotomy were performed. The early results were satisfactory in 53.2% of the patients; operative morbidity and mortality were 19.1% and 27.7% respectively. Four patients died from gastric variceal bleeding soon after esophageal transection. Operative mortality was greater when the patient was Child C or operated for massive hemorrhage. Survivors were followed for at least 12 months. Two patients died from shunt occlusion and recurrent variceal bleeding. No severe encephalopathy was reported. Analysis of the results suggest that porto-caval shunt is indicated in Child A or B patients, particularly with recurrent variceal bleeding soon after a first episode controlled medically. SN - 0003-3944 UR - https://www.unboundmedicine.com/medline/citation/2619210/[Digestive_hemorrhage_caused_by_rupture_of_esophageal_varices__Analysis_of_47_emergency_surgeries]_ L2 - https://www.diseaseinfosearch.org/result/2658 DB - PRIME DP - Unbound Medicine ER -