J.Jpn. Surg. Soc.. 82(9): 1051-1054, 1981
Report on the annual meeting
SIMULTANEOUS VARICOGRAPHY AND ESOPHAGOSCOPY PERFORMED DURING TERMINAL ESOPHAGO-PROXIMAL GASTRECTOMY
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Department of Surgery, Aichi medical School Kotohito Takeshige, Sadahiro Yamamoto, Toshiyuki Arakawa, Hirofumi Kuroda, Yoji Kawai, Yoshitaka Fukaya |
The varicography revealed 3 types of esophageal varices; i.e. type A that drains variceal blood into the azygos vein in 6 cases, type B that flows out bilaterally in 5 cases, and type C that goes up into cervical veins in 8 cases. The varicographic type was noted to correlate very closely with endoscopic localization of varices.
The esophagoscopy showed that features of esophageal varices could not be changed by splenectomy only, and could not be disappeared by additional extensive devascularization. The varices were completely collapsed finally after succesive interruption of the tissue continuity at the proximal stomach.
The varicographic findings increased the accuracy of devascularization procedure, and the esophagoscopy assured complete disappearance of the varices at the end of TEPG. Follow up studies for up to 18 months disclosed no remnant and none of recurrence of the varices in these 19 cases.
Theses results revealed the importance of these two diagnostic methods at surgery for the control of esophageal varices, and especially it was concluded that the esophagoscopy should be performed as a part of surgical treatment for portal hypertension.
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