BACKGROUND: The surgical approaches to the treatment of @entity548 esophageal varices in cirrhotic @entity1 have been reduced since the clinical development of endoscopic sclerotherapy, transjugular intrahepatic portosystemic shunt (TIPS), and liver transplantation. However, when @entity697 , and in cases where no further treatment is accessible, emergency surgery may be life saving. In the present study we retrospectively analyzed the results of the modified Sugiura procedure, performed as emergency and semi-elective treatment in the @entity1 with @entity548 esophageal varices. METHODS: Ninety @entity1 with @entity82 and portal @entity101 were managed in our department for variceal esophageal @entity548 between January 1985 and December 1992. The modified Sugiura procedure was performed in 46 @entity1 on an emergency (25 @entity1 ) or semi-elective (21 @entity1 ) basis. @entity1575 stage according to @entity1 classification was A in 4 @entity1 , B in 16 @entity1 , and C in 26 @entity1 . RESULTS: Acute @entity548 was controlled in all @entity1 . Postoperative mortality was 23.9% (11 of 46 @entity1 ). The mortality rate was 34.6% in @entity1 class C @entity1 (9 of 26 @entity1 ), and 12.5% in @entity1 class B @entity1 (2 of 16 @entity1 ). Twenty-four @entity1 had long-term follow-up extending from 14 months to 22 years (mean 83.1 months). Ten of 24 @entity1 (41.6%) did not develop rebleeding for 5-22 years (mean 10.3 years). Overall 5-year survival in these 24 @entity1 was 62.5%. CONCLUSIONS: The modified Sugiura procedure remains an effective rescue therapy for @entity1 with @entity548 esophageal varices when alternative treatments fail or are not indicated. Moreover, it can be a life-saving procedure in @entity1 with anatomy unsuitable for shunt surgery or for @entity1 treated in nonspecialized centers where surgical expertise for a shunt operation is not available.

Long-term results with the modified Sugiura procedure for the management of variceal @entity548 : standing the test of time in the treatment of XXXX esophageal varices.

@entity1 :: ('9606', 'Species') :: ['Child', 'patients', 'patient'] @entity82 :: ('MESH:D005355', 'Disease') :: ['cirrhosis'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute sclerotherapy fails'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1575 :: ('MESH:D008103', 'Disease') :: ['Liver cirrhosis']
@entity548 :: (MESH:D006470,Disease) :: ['bleeding']
