Fifteen years' experience with left gastric venous caval shunt for esophageal varices

Kiyoshi Inokuchi, Kazushige Beppu, Nobuhiro Koyanagi, Kenji Nagamine, Makoto Hashizume, Tetsuya Iwanaga, Keizo Sugimachi

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Data on 231 patients with esophageal varices and portal hypertension secondary to intrahepatic block who underwent a left gastric venous caval shunt are presented herein. Operative death occurred in 5 (2.2%) and late death in 80 (34.6%), resulting in 146 survivors at a mean follow-up period of 66 months. Postoperative variceal bleeding occurred in 17 (7.4%). Five-year survival rate was 69.8% overall, and 62.0% in patients with cirrhosis. Eck's syndrome occurred in none, and a prograde portal flow was preserved in all 43 patients who were examined angiographically or ultrasonically. Left gastric venous caval shunt is a safe and effective surgical treatment which provides less insult to portal hemodynamics for a long postoperative period of time.

Original languageEnglish
Pages (from-to)716-721
Number of pages6
JournalWorld journal of surgery
Volume8
Issue number5
DOIs
Publication statusPublished - Oct 1 1984

All Science Journal Classification (ASJC) codes

  • Surgery

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    Inokuchi, K., Beppu, K., Koyanagi, N., Nagamine, K., Hashizume, M., Iwanaga, T., & Sugimachi, K. (1984). Fifteen years' experience with left gastric venous caval shunt for esophageal varices. World journal of surgery, 8(5), 716-721. https://doi.org/10.1007/BF01655768