Laparoscopy-Assisted devascularization of the lower esophagus and upper stomach in the management of gastric varices

S. Kitano, M. Tomikawa, Y. Iso, Makoto Hashizume, M. Monyama, K. Sugimachi

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Devascularization of the lower esophagus and the upper stomach is one method of treating patients with clinically significant gastric varices. We describe a new method of laparoscopically-assisted devascularization which has been applied in seven patients with esophagogastric varices. Three of the seven patients had an episode of gastric variceal bleeding, and the remaining four had moderate to large gastric varices with red color signs. The operative procedure was carried out without pneumoperitoneum by using an ordinary forceps and laparoscopic instruments through a small skin incision (3-5cm); the ab-dominal wall was elevated with a U-shaped retractor. The operative field was obtained by laparoscopic and direct vision illuminated by laparoscopic light. The procedure time ranged from 100 to 180 minutes with minimal blood loss (70-320g). No complications were encountered. All patients could be discharged within one week; postoperative pain was minimal and all patients returned to work early. Follow-up (mean 11.4 months) showed no recurrence of gastric varices although, due to an incomplete procedure in two cases, two patients were treated additionally by endoscopic injection of histoacryl.

Original languageEnglish
Pages (from-to)470-473
Number of pages4
JournalEndoscopy
Volume26
Issue number5
DOIs
Publication statusPublished - Jan 1 1994

Fingerprint

Esophageal and Gastric Varices
Laparoscopy
Esophagus
Stomach
Enbucrilate
Pneumoperitoneum
Operative Surgical Procedures
Varicose Veins
Postoperative Pain
Surgical Instruments
Color
Hemorrhage
Light
Recurrence
Skin
Injections

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Laparoscopy-Assisted devascularization of the lower esophagus and upper stomach in the management of gastric varices. / Kitano, S.; Tomikawa, M.; Iso, Y.; Hashizume, Makoto; Monyama, M.; Sugimachi, K.

In: Endoscopy, Vol. 26, No. 5, 01.01.1994, p. 470-473.

Research output: Contribution to journalArticle

Kitano, S, Tomikawa, M, Iso, Y, Hashizume, M, Monyama, M & Sugimachi, K 1994, 'Laparoscopy-Assisted devascularization of the lower esophagus and upper stomach in the management of gastric varices', Endoscopy, vol. 26, no. 5, pp. 470-473. https://doi.org/10.1055/s-2007-1009006
Kitano, S. ; Tomikawa, M. ; Iso, Y. ; Hashizume, Makoto ; Monyama, M. ; Sugimachi, K. / Laparoscopy-Assisted devascularization of the lower esophagus and upper stomach in the management of gastric varices. In: Endoscopy. 1994 ; Vol. 26, No. 5. pp. 470-473.
@article{5797113e72d445628b403b85273c8ce0,
title = "Laparoscopy-Assisted devascularization of the lower esophagus and upper stomach in the management of gastric varices",
abstract = "Devascularization of the lower esophagus and the upper stomach is one method of treating patients with clinically significant gastric varices. We describe a new method of laparoscopically-assisted devascularization which has been applied in seven patients with esophagogastric varices. Three of the seven patients had an episode of gastric variceal bleeding, and the remaining four had moderate to large gastric varices with red color signs. The operative procedure was carried out without pneumoperitoneum by using an ordinary forceps and laparoscopic instruments through a small skin incision (3-5cm); the ab-dominal wall was elevated with a U-shaped retractor. The operative field was obtained by laparoscopic and direct vision illuminated by laparoscopic light. The procedure time ranged from 100 to 180 minutes with minimal blood loss (70-320g). No complications were encountered. All patients could be discharged within one week; postoperative pain was minimal and all patients returned to work early. Follow-up (mean 11.4 months) showed no recurrence of gastric varices although, due to an incomplete procedure in two cases, two patients were treated additionally by endoscopic injection of histoacryl.",
author = "S. Kitano and M. Tomikawa and Y. Iso and Makoto Hashizume and M. Monyama and K. Sugimachi",
year = "1994",
month = "1",
day = "1",
doi = "10.1055/s-2007-1009006",
language = "English",
volume = "26",
pages = "470--473",
journal = "Endoscopy",
issn = "0013-726X",
publisher = "Georg Thieme Verlag",
number = "5",

}

TY - JOUR

T1 - Laparoscopy-Assisted devascularization of the lower esophagus and upper stomach in the management of gastric varices

AU - Kitano, S.

AU - Tomikawa, M.

AU - Iso, Y.

AU - Hashizume, Makoto

AU - Monyama, M.

AU - Sugimachi, K.

PY - 1994/1/1

Y1 - 1994/1/1

N2 - Devascularization of the lower esophagus and the upper stomach is one method of treating patients with clinically significant gastric varices. We describe a new method of laparoscopically-assisted devascularization which has been applied in seven patients with esophagogastric varices. Three of the seven patients had an episode of gastric variceal bleeding, and the remaining four had moderate to large gastric varices with red color signs. The operative procedure was carried out without pneumoperitoneum by using an ordinary forceps and laparoscopic instruments through a small skin incision (3-5cm); the ab-dominal wall was elevated with a U-shaped retractor. The operative field was obtained by laparoscopic and direct vision illuminated by laparoscopic light. The procedure time ranged from 100 to 180 minutes with minimal blood loss (70-320g). No complications were encountered. All patients could be discharged within one week; postoperative pain was minimal and all patients returned to work early. Follow-up (mean 11.4 months) showed no recurrence of gastric varices although, due to an incomplete procedure in two cases, two patients were treated additionally by endoscopic injection of histoacryl.

AB - Devascularization of the lower esophagus and the upper stomach is one method of treating patients with clinically significant gastric varices. We describe a new method of laparoscopically-assisted devascularization which has been applied in seven patients with esophagogastric varices. Three of the seven patients had an episode of gastric variceal bleeding, and the remaining four had moderate to large gastric varices with red color signs. The operative procedure was carried out without pneumoperitoneum by using an ordinary forceps and laparoscopic instruments through a small skin incision (3-5cm); the ab-dominal wall was elevated with a U-shaped retractor. The operative field was obtained by laparoscopic and direct vision illuminated by laparoscopic light. The procedure time ranged from 100 to 180 minutes with minimal blood loss (70-320g). No complications were encountered. All patients could be discharged within one week; postoperative pain was minimal and all patients returned to work early. Follow-up (mean 11.4 months) showed no recurrence of gastric varices although, due to an incomplete procedure in two cases, two patients were treated additionally by endoscopic injection of histoacryl.

UR - http://www.scopus.com/inward/record.url?scp=0028243612&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028243612&partnerID=8YFLogxK

U2 - 10.1055/s-2007-1009006

DO - 10.1055/s-2007-1009006

M3 - Article

C2 - 7956957

AN - SCOPUS:0028243612

VL - 26

SP - 470

EP - 473

JO - Endoscopy

JF - Endoscopy

SN - 0013-726X

IS - 5

ER -