Transabdominal gastroesophageal devascularization with versus without esophageal stapler transection in the control of variceal bleeding in cirrhotic patients | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 34, Issue 1, January 2015 PDF (1.4 MB) | ||||
| DOI: 10.4103/1110-1121.153372 | ||||
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| Authors | ||||
| Wael E. Lotfy; Taha A. Biomy; Mohamed I. Abdelhamid; Sherif M. Galal; Mohamed M. Refaey | ||||
| Abstract | ||||
| Aim The aim of the study was to assess the efficacy and safety of adding esophageal transection to the devascularization operation in controlling variceal bleeding. Patients and methods A total of 115 patients with acute variceal bleeding who finally needed surgery were included in this study. They were divided into two groups: group I included 32 patients who underwent transabdominal gastroesophageal devascularization and esophageal transection and group II included 83 patients who underwent transabdominal gastroesophageal devascularization only. Survivors were followed up for at least 3 years by endoscopy to check for recurrence of esophageal varices. Results The incidence of early bleeding, residual varices, and recurrent varices was significantly lower in group I than in group II and there was no statistically significant difference in both early and late morbidity and mortality between the two groups. Conclusion Esophageal stapling is a safe and effective procedure for both short-term and long-term control of bleeding varices. | ||||
| Keywords | ||||
| Esophageal varices; gastro-esophageal devascularization; stapler transection | ||||
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