Comparison of Clinical Findings and Surgical Results between Gastric and Esophageal Varices

One hundred ninety-two cases of esophagogastric varices treated surgically during the past 20 years in our surgical department were divided into the following three groups: group I (esophageal varices alone) 111 cases; group II (esophageal and gastric varices) 72 cases and group III (gastric varices...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 1991, Vol.24(7), pp.1899-1904
Hauptverfasser: Ogawa, Yuichiro, Yukaya, Hirofumi, Sasaki, Yukiharu, Nagashima, Akira, Fukuda, Atsushi, Adachi, Yosuke, Hayashi, Takafumi
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container_end_page 1904
container_issue 7
container_start_page 1899
container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 24
creator Ogawa, Yuichiro
Yukaya, Hirofumi
Sasaki, Yukiharu
Nagashima, Akira
Fukuda, Atsushi
Adachi, Yosuke
Hayashi, Takafumi
description One hundred ninety-two cases of esophagogastric varices treated surgically during the past 20 years in our surgical department were divided into the following three groups: group I (esophageal varices alone) 111 cases; group II (esophageal and gastric varices) 72 cases and group III (gastric varices alone) 9 cases. The clinical findings and operative results in the three groups were compared. No significant difference was found in age, sex ratio, underlying liver disease and grade of liver dysfunction among the three groups. Of the angiographic collateral venous patterns, the left gastric venous dominant type was the most frequent pattern in group I and group II while it was the least frequent pattern in group III. Portal venous pressure was significantly low in group III (p
doi_str_mv 10.5833/jjgs.24.1899
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The clinical findings and operative results in the three groups were compared. No significant difference was found in age, sex ratio, underlying liver disease and grade of liver dysfunction among the three groups. Of the angiographic collateral venous patterns, the left gastric venous dominant type was the most frequent pattern in group I and group II while it was the least frequent pattern in group III. Portal venous pressure was significantly low in group III (p&lt;0.01). The grade of gastric varices was significantly more severe in group III than in group II (p&lt;0.01), and the main location of gastric varices was the cardia in group II while it was the fundus in group III. The incidence of variceal hemorrhage was highest in group II, but an emergency operation was necessary most often in group III. Gastric varices were more frequently reduced (86.8%) than esophageal varices (74.2%) by any operative procedure (p&lt;0.05).</description><identifier>ISSN: 0386-9768</identifier><identifier>EISSN: 1348-9372</identifier><identifier>DOI: 10.5833/jjgs.24.1899</identifier><language>eng ; jpn</language><publisher>The Japanese Society of Gastroenterological Surgery</publisher><subject>esophageal varices ; gastric varices ; portal hypertension ; surgical treatment of esophagogastric varices</subject><ispartof>The Japanese Journal of Gastroenterological Surgery, 1991, Vol.24(7), pp.1899-1904</ispartof><rights>The Japanese Society of Gastroenterological Surg</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids></links><search><creatorcontrib>Ogawa, Yuichiro</creatorcontrib><creatorcontrib>Yukaya, Hirofumi</creatorcontrib><creatorcontrib>Sasaki, Yukiharu</creatorcontrib><creatorcontrib>Nagashima, Akira</creatorcontrib><creatorcontrib>Fukuda, Atsushi</creatorcontrib><creatorcontrib>Adachi, Yosuke</creatorcontrib><creatorcontrib>Hayashi, Takafumi</creatorcontrib><title>Comparison of Clinical Findings and Surgical Results between Gastric and Esophageal Varices</title><title>Nippon Shokaki Geka Gakkai zasshi</title><addtitle>Jpn J Gastroenterol Surg</addtitle><description>One hundred ninety-two cases of esophagogastric varices treated surgically during the past 20 years in our surgical department were divided into the following three groups: group I (esophageal varices alone) 111 cases; group II (esophageal and gastric varices) 72 cases and group III (gastric varices alone) 9 cases. The clinical findings and operative results in the three groups were compared. No significant difference was found in age, sex ratio, underlying liver disease and grade of liver dysfunction among the three groups. Of the angiographic collateral venous patterns, the left gastric venous dominant type was the most frequent pattern in group I and group II while it was the least frequent pattern in group III. Portal venous pressure was significantly low in group III (p&lt;0.01). The grade of gastric varices was significantly more severe in group III than in group II (p&lt;0.01), and the main location of gastric varices was the cardia in group II while it was the fundus in group III. The incidence of variceal hemorrhage was highest in group II, but an emergency operation was necessary most often in group III. 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The clinical findings and operative results in the three groups were compared. No significant difference was found in age, sex ratio, underlying liver disease and grade of liver dysfunction among the three groups. Of the angiographic collateral venous patterns, the left gastric venous dominant type was the most frequent pattern in group I and group II while it was the least frequent pattern in group III. Portal venous pressure was significantly low in group III (p&lt;0.01). The grade of gastric varices was significantly more severe in group III than in group II (p&lt;0.01), and the main location of gastric varices was the cardia in group II while it was the fundus in group III. The incidence of variceal hemorrhage was highest in group II, but an emergency operation was necessary most often in group III. 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source J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Open Access Titles of Japan; EZB-FREE-00999 freely available EZB journals
subjects esophageal varices
gastric varices
portal hypertension
surgical treatment of esophagogastric varices
title Comparison of Clinical Findings and Surgical Results between Gastric and Esophageal Varices
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