Sugiura procedure outside Japan

Orozco, Héctor; Juárez, F; Uribe, Misael; Hernández, Jorge; Ordorica, J; Armenia, Romulo; Aranceta, Miguel; Mercado, Miguel Ángel; Santillán, Patricio; Mendoza, Arturo S.; Helve, Manuel; L, Guevara

doi:10.1016/0002-9610(86)90224-2

Cited by 18 publications

(3 citation statements)

References 4 publications

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“…In a Japanese series, the original Sugiura procedure had a rebleeding rate of less than 10% [16]. Several modifications of the original Sugiura procedure have been reported, including left gastric vein ligation, with different results [7,[17][18][19]. Likely because of a difference in the proportion of patients with alcoholic cirrhosis, these modifications have not been successfully adopted in the Western countries [4,6,20].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with Child class C cirrhosis had an overall perioperative mortality of 34.6%, while in emergency settings mortality was 53%. As described by Orozco et al [17], this can reach 80% in patients with Child class C cirrhosis, contrasting the reported results of this procedure in patients with well-preserved liver function [6,25]. Overall in Western series, when the operation was performed as an emergency the reported operative mortality varied between 22 and 100% [7,18,[26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

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Long‐term Results with the Modified Sugiura Procedure for the Management of Variceal Bleeding: Standing the Test of Time in the Treatment of Bleeding Esophageal Varices

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long‐term Results with the Modified Sugiura Procedure for the Management of Variceal Bleeding: Standing the Test of Time in the Treatment of Bleeding Esophageal Varices

et al. 2012

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“…14) in Tokyo (Japan), 39 who advocated a thoraco-abdominal procedure, 40 whereas Hector Orozco (Fig. 15) in Mexico City (Mexico) used a predominantly transabdominal approach, 41 and others varied their approach. The main elements were adequate esophageal (7-8 cm) and extensive gastric devascularization, without/with splenectomy without/with esophageal transection.…”

Section: Differing Approaches To Variceal Decompressionmentioning

confidence: 99%

The Surgical Treatment of Portal Hypertension

Henderson

Anderson

2020

Clinical Liver Disease

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Portal hypertension is a term that evokes varied responses among physicians: an opportunity for some and fear in others. Why is this? First, portal hypertension is associated with a broad range of clinical presentations such as variceal bleeding, ascites, encephalopathy, and end-stage liver disease. Second, the pathophysiology is complex with subtle nuances that may be crucial to the management of specific patients. And third, the treatment requires a broad-based team of specialists to define optimal management strategies. In this review, we will highlight pivotal historical phases of the management of portal hypertension with an emphasis on some of the key characters who traveled this path. But before we trace this story, let it be said that for almost a century portal hypertension was the domain of surgeons who built their reputations and careers in this arena with work that contributed to a better understanding of the field and was the basis of what was to come. Yet, as predicted by Hal Conn (Fig. 1) in 1989, 1 surgical portacaval shunting would no longer be the answer to portal hypertension in the 21st century. THe BeGinninGThe first documented publication in September 1877 of a portosystemic shunt was the animal study by the brilliant Abbreviations: HE, hepatic encephalopathy; PTFE, polytetrafluorethylene; TIPS, transjugular intrahepatic portosystemic shunts.

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Is Splenectomy Necessary in Devascularization Procedures for Treatment of Bleeding Portal Hypertension?

Orozco

Mercado²,

Martínez³

et al. 1998

Arch Surg

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Objective: To investigate whether splenectomy as a part of devascularization procedures is necessary.Design: Prospective, controlled, randomized trial.Setting: University hospital, referral center.Patients: A total of 55 patients (Child-Pugh class A and B) with a history of bleeding portal hypertension were treated by means of a modified Sugiura-Futagawa procedure. Twenty-three patients underwent splenectomy and 22 did not.Methods: Postoperative outcome was recorded and comparison of the 2 groups was done with the Fisher exact test. Kaplan-Meier survival curves were constructed. Main

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Sugiura procedure outside Japan

Cited by 18 publications

References 4 publications

Long‐term Results with the Modified Sugiura Procedure for the Management of Variceal Bleeding: Standing the Test of Time in the Treatment of Bleeding Esophageal Varices

Long‐term Results with the Modified Sugiura Procedure for the Management of Variceal Bleeding: Standing the Test of Time in the Treatment of Bleeding Esophageal Varices

The Surgical Treatment of Portal Hypertension

Is Splenectomy Necessary in Devascularization Procedures for Treatment of Bleeding Portal Hypertension?

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