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World J Gastroenterol. Dec 28, 2013; 19(48): 9418-9424
Published online Dec 28, 2013. doi: 10.3748/wjg.v19.i48.9418
Published online Dec 28, 2013. doi: 10.3748/wjg.v19.i48.9418
Two surgical procedures for esophagogastric variceal bleeding in patients with portal hypertension
Lin Yang, Li-Juan Yuan, Rui Dong, Ji-Kai Yin, Qing Wang, Tao Li, Jiang-Bin Li, Xi-Lin Du, Jian-Guo Lu, Department of General Surgery, Tangdu Hospital of the Fourth Military Medical University, Xi’an 710038, Shannxi Province, China
Author contributions: Yang L, Yuan LJ and Dong R contributed equally to this work; Yang L collected and analyzed the data, and drafted the manuscript; Yuan LJ designed and supervised the study; Dong R and Yin JK revised the manuscript for important intellectual content; Wang Q, Li T and Li JB offered the technical or material support; Du XL and Lu JG provided funding and administrative support; all authors have read and approved the final version to be published.
Correspondence to: Jian-Guo Lu, PhD, Department of General Surgery, Tangdu Hospital of the Fourth Military Medical University, No. 1 Xinsi Road, Xi’an 710038, Shaanxi Province, China. lujguo@fmmu.edu.cn
Telephone: +86-29-84777431 Fax: +86-29-84777431
Received: August 16, 2013
Revised: October 16, 2013
Accepted: November 1, 2013
Published online: December 28, 2013
Revised: October 16, 2013
Accepted: November 1, 2013
Published online: December 28, 2013
Core Tip
Core tip: A comparison of two surgical techniques for esophagogastric variceal bleeding in patients with cirrhotic portal hypertension was performed. Pericardial devascularization and shunt are the main surgical strategies for the prevention of esophagogastric variceal bleeding in patients with portal hypertension (PHT). In this study, we found that devascularization plus splenorenal shunt was an effective and safe strategy for controlling esophagogastric variceal bleeding in PHT patients. This surgical technique should be recommended as a first-line treatment for the prevention of bleeding in PHT patients when surgical interventions are considered.