1. Modified Sugiura Operation for Idiopathic Portal Hypertension with Bleeding Oesophageal Varices. A Case Report
- Author
-
Paul Pescatore, Rafael S. Pinheiro, Jan Lerut, and Adriano-Valerio Schettini
- Subjects
Adult ,Liver Cirrhosis ,Male ,medicine.medical_specialty ,Pancytopenia ,medicine.medical_treatment ,Splenectomy ,Context (language use) ,Esophageal and Gastric Varices ,Sugiura procedure ,Bleeding oesophageal varices ,Esophagus ,Hypertension, Portal ,Humans ,Medicine ,Digestive System Surgical Procedures ,Venous Thrombosis ,business.industry ,Stomach ,Idiopathic Noncirrhotic Portal Hypertension ,General Medicine ,medicine.disease ,Thrombosis ,Surgery ,Venous thrombosis ,Idiopathic portal hypertension ,Splenomegaly ,Radiology ,Gastrointestinal Hemorrhage ,business ,Varices ,Algorithms - Abstract
A case of a 36 years old man presenting massive upper GI bleeding due to oesophageal varices developed in the context of an idiopathic portal cavernoma and extensive porto-splenic thrombosis is discussed. He underwent a successful modified Sugiura operation (oesophago-gastric devascularisation and splenectomy [OGDS]) completed with interventional endoscopic treatment of residual oesophageal varices. The benefit of the modified Sugiura procedure proposed for the treatment of upper GI variceal bleeding developed in the context of splanchnic venous thrombosis is discussed. The procedure is a valid therapy in the treatment of symptomatic extra-hepatic hypertension when other options are inapplicable.
- Published
- 2015