1954
DOI: 10.1001/archsurg.1954.01260050856015
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Subtotal Esophagectomy for Bleeding Esophageal Varices

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Cited by 18 publications
(3 citation statements)
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“…However, 33-50% [1,6] of patients may have extensive thrombosis of the portal and splenic veins making them unsuitable for shunt surgery [6,7]. The management of these patients poses a challenge to the surgeon, some have even recommended drastic steps in the form of total esophagogastrectomy [7,8] in the management of this condition.…”
Section: Abstract: Portal Hypertension Extrahepatic Portal Venous Obmentioning
confidence: 99%
“…However, 33-50% [1,6] of patients may have extensive thrombosis of the portal and splenic veins making them unsuitable for shunt surgery [6,7]. The management of these patients poses a challenge to the surgeon, some have even recommended drastic steps in the form of total esophagogastrectomy [7,8] in the management of this condition.…”
Section: Abstract: Portal Hypertension Extrahepatic Portal Venous Obmentioning
confidence: 99%
“…patient and esophagogastrectomy on a second one who were not candidates for a portacaval shunt because of extensive portal venous thrombosis. A further report on esophagogastrectomy was made by Cooley and DeBakey in 1954 [140]. They included an excellent historical review of the treatment of portal hypertension.…”
Section: Hassab Of Egyptmentioning
confidence: 99%
“…The thesis that bleeding from esophageal varices is related to acid-peptic erosion of the mucosa covering the varices was advanced by Baronofsky and Wangensteen in 1945, 13 following experiments which demonstrated that obstruc¬ tion of the portal and splenic vein in the dog resulted in an increase in gastric weight, and an increased ability of histamine to provoke gas¬ tric and duodenal ulcers and esoph¬ ageal erosions. Further experiments by Baronofsky demonstrated that a near-total or total gastrectomy could prevent the development of such ulcers,16 and additional clinical ob¬ servations by Wagenknecht17 con¬ firmed a high autopsy incidence of esophageal erosion and ulcération in On the basis of these clinical and experimental observations, Wan¬ gensteen undertook the primary treatment of bleeding esophageal varices by subtotal and total gas¬ trectomy in 1945,10 one year after Phemister performed the first total gastrectomy for this condition, but two years before it was first report¬ ed.…”
Section: Commentmentioning
confidence: 99%