✦ LIBER ✦

Management of gastric variceal haemorrhage

✍ Scribed by J. D. Greig; O. J. Garden; Mr. J. R. Anderson; D. C. Carter

Publisher: John Wiley and Sons
Year: 1990
Tongue: English
Weight: 384 KB
Volume: 77
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800770318

No coin nor oath required. For personal study only.

✦ Synopsis

Management of gastric variceal haemorrhage

From March 1979 to April 1988

nine patients with hepatic cirrhosis have presented with acute variceal haemorrhage from gastric varices. Of six patients who underwent emergency laparotomy those with modified

Child's grade C (n = 3 ) died within 30 days of surgery. Six patients have been followed for 2 years or longer. In the three patients who underwent under-running of gastric varices alone, two patients developed oeosophageal varices at 3 and 14 months, respectively, and in the third patient gastric varices recurred 3 years after surgery. I n the remaining three patients, additional left gastric vein ligation was not associated with recurrence of gastric varices or the development of oesophageal varices.

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