Selective Shunt Operation for Esophagogastric Varices

Hiroyuki Katoh

Second Department of Surgery, Hokkaido University School of Medicine

Distal splenorenal shunt with splenopancreatic and gastric disconnection for esophagogastric varices has been carried out in 60 patients since 1984. The 8-year survival rate of this procedure compares favorably with the standard method (78% [n=60[: 37% [n=57]). It is believed that this improved survival is the result of long-term maintenance of portal perfusion. Combination therapy with another method (EIS, EVL) is the best choice of treatment for esophagogastric varices.

Key words
selective shunt operation, esophagogastric varices, disal spenorenal shunt with sprenopancreatic gastric disconnection

Reprint requests
Hiroyuki Katoh Second Department of Surgery, Hokkaido University School of Medicine
Kita-15, Nishi-7, Kita-ku, Sapporo, 060 JAPAN

Accepted
November 1, 1993

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