Emergency oesophageal transection in uncontrolled variceal haemorrhage
β Scribed by P. George; C. Brown; G. Ridgway; B. Crofts; S. Sherlock
- Publisher
- John Wiley and Sons
- Year
- 1973
- Tongue
- English
- Weight
- 546 KB
- Volume
- 60
- Category
- Article
- ISSN
- 0007-1323
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β¦ Synopsis
Abstract
The results of emergency oesophageal transection are described. The overall operative mortality-rate was 45 per cent. There were no operative deaths in the patients with extrahepatic obstruction and normal liver function. The operative mortality-rate for the patients with cirrhosis was 53 per cent, or a salvage rate of 47 per cent if one considers that this is a highly selected group of patients (albeit negatively)βpatients with impaired liver function who had not responded to intensive medical treatment and who were still bleeding at the time of surgery.
π SIMILAR VOLUMES
Abstract Thirteen patients who had recently bled from varices underwent oesophageal manometry. A control group of 13 asymptomatic subjects were also studied. Seven of the thirteen variceal patients had manometry before oesophageal transection and repeat manometry at least 1 month following operation