J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1095KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 79(8): 713-718, 1978

Report on the annual meeting

TERMINAL ESOPHAGO-PROXIMAL GASTRECTOMY (TEPG) FOR BLEEDING ESOPHAGEAL VARICES

*) Department of Surgery, Aichi Medical University
**) Department of Surgery, Nagoya University School of Medicine

Sadahiro Yamamoto*), Kotohito Takeshige*), Masahiro Suenaga*), Ryugo Hidemura**), Masashi Sawada**), Masumasa Horisawa**)

More than 700 cases of portal hypertension were treated by the Nagoya group. There were 154 cases of end-to-side portacaval shunt and 163 cases of TEPG with extensive devascularization and splenectomy, as typical portal decompression surgery and direct attack on varices. For longterm comparative study, the results in 76 cases of PCS and 119 cases of TEPG those were caused by posthepatitic cirrhosis of the liver were analyzed carefully.
The survival rate of TEPG was 70% in 3 years, 68% in 5 years and 62% in 10 years and is superior remarkably to that of PCS, 28%, 22%, and 10% respectively. Most cases of TEPG returned to normal social activity without complicating portosystemic encephalopathy, which arosed serious conditions in most cases of PCS.
Detailed technic of TEPG and its background based on the reconstruction study of esophago-gastric varices was also described.

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