What is gastric Devascularization?
Gastric devascularization is a useful salvage procedure for the patient with DHG because it can be accomplished rapidly, with few complications, has a low rebleed rate, and causes no permanent sequelae.
What is esophageal transection?
Esophageal transection (ET) refers to the disintegration of the esophageal mucosa and submucosa layers. This disease affects a long segment and is not accompanied by perforation. Esophageal transection is a rare disease (1).
What is Devascularization procedure?
Devascularization procedures aim to control bleeding from varices in the esophagogastric region. They do not control bleeding from ectopic varices, nor do they treat the underlying disease. However, splenectomy, which is part of most described devascularization procedures, can effectively treat hypersplenism.
Can esophageal varices disappear?
In one series, 46% of 819 patients with biopsy or clinical evidence of cirrhosis and no history of bleeding had esophageal varices by endoscopy (PROVA Study Group, 1991). Over time, varices may appear, disappear, or change in size depending on alterations in patient physiology.
Which surgery is not use esophageal varices?
Esophagogastric devascularization procedures are performed to control bleeding from varices in the esophagogastric region. They are not intended as treatment of the underlying disease, and they do not control bleeding from ectopic varices. Splenectomy is commonly performed as part of esophagogastric devascualrization.
Why Pyloroplasty is done?
Why the Procedure is Performed Pyloroplasty is used to treat complications in people with peptic ulcers or other stomach problems that cause a blockage of the stomach opening.
What is stepwise Devascularization?
Study design: Stepwise uterine devascularization was performed for 103 patients to control intractable postpartum hemorrhage not responding to classic management. This technique entails five successive steps, so if bleeding is not controlled by one step the next step is taken until bleeding stops.
Which is the most common cause of esophageal varices?
Scarring (cirrhosis) of the liver is the most common cause of esophageal varices. This scarring cuts down on blood flowing through the liver. As a result, more blood flows through the veins of the esophagus. The extra blood flow causes the veins in the esophagus to balloon outward.
How is a pyloroplasty done?
Pyloroplasty involves cutting through and removing some of the pyloric sphincter to widen and relax the pylorus. This makes it easier for food to pass into the duodenum. In some cases, the pyloric sphincter is entirely removed.
Is pyloroplasty a major surgery?
A general surgeon usually performs a pyloroplasty under general anesthesia. It may be performed as an open surgery with a large incision in the abdomen or a laparoscopic surgery, which is less invasive with several smaller incisions.
How is devascularization performed in the esophagogastric region?
Esophagogastric devascularization procedures are performed to control bleeding from varices in the esophagogastric region. They are not intended as treatment of the underlying disease, and they do not control bleeding from ectopic varices. Splenectomy is commonly performed as part of esophagogastric devascualrization.
Which is the best procedure for gastric devascularization?
A splenectomy is performed first, providing better exposure for gastric devascularization. The abdominal portion of the procedure is similar to that described for the Sugiura procedure. In some instances, it may be possible to spare both vagal trunks by displacing them up and medially toward the right.
Is there a way to devascularize an esophageal varice?
Hassab (1967) found that in patients with bleeding esophageal varices secondary to schistosomiasis, an adequate gastroesophageal devascularization procedure via the abdomen was possible.
Who is the best surgeon for esophagogastric devascularization?
Esophagogastric devascularization procedures should be performed only by specially trained surgeons who have previous experience with the procedure in a hospital equipped to handle complicated surgical intensive care unit (SICU) patients. In the elective setting, patients should undergo preoperative evaluation by a cardiologist and hepatologist.