caa a22 4500 477035507 CHVBK 20180405111304.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/s002689900051 doi (NATIONALLICENCE)springer-10.1007/s002689900051 Modified Sujura Operation: Long-Term Results [Elektronische Daten] [G. Battaglia, E. Ancona, E. Patarnello, T. Morbin, M. Anselmino, A. Peracchia] Abstract. From January 1980 to January 1986 a total of 93 patients with portal hypertension (59 males, 34 females; average age 51.5 years) underwent the modified Sujura's operation. All patients presented with esophageal varices during the preoperative endoscopic workup. Child's risk category was A in 6 patients and B in the remaining 87. Our technique consisted of: (1) devascularization of the upper half of the gastric corpus and fundus; (2) devascularization of the last 10 to 12 cm of the thoracic esophagus; (3) pyloric divulsion; (4) resection and anastomosis at the esophagogastric junction; and (5) antireflux fundoplication. In the presence of severe hypersplenism we added splenectomy. The surgical approach was through a xiphoumbilical laparotomy, extended to the left side when splenectomy was anticipated. We observed 19.8% early mortality (10% with elective procedures and 27.2% with emergency operations) and two cases of early rebleeding from acute mucosal lesions. Long-term follow-up of 82 patients revealed 30 cases of rebleeding (36.6%). Ruptured esophageal varices occurred in 12 patients (11 were treated with endoscopic sclerotherapy), whereas in 11 patients the cause of bleeding was a hemorrhagic gastritis. Of the remaining patients, two had rebleeding from a gastric ulcer, one from gastric varices, one from duodenal varices; in three patients the source of the hemorrhage remains unknown. The survival for elective procedure patients was 59.2% at 5 years and 40.7% at 10 years.: 1996 by the Société Internationale de Chir, ugie Battaglia G. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut Ancona E. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut Patarnello E. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut Morbin T. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut Anselmino M. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut Peracchia A. Department of General Surgery and Surgical Oncology, University of Milan, Milan, Italy, IT aut https://doi.org/10.1007/s002689900051 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900051 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Battaglia G. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut NATIONALLICENCE 700 1- Ancona E. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut NATIONALLICENCE 700 1- Patarnello E. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut NATIONALLICENCE 700 1- Morbin T. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut NATIONALLICENCE 700 1- Anselmino M. Department of General Surgery II, University of Padua, Via Giustiniani 2, 35128 Padua, Italy, IT aut NATIONALLICENCE 700 1- Peracchia A. Department of General Surgery and Surgical Oncology, University of Milan, Milan, Italy, IT aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer