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Abstract
An attempt has been made to reduce the immediate mortality rate from bleeding esophageal
varices by performing an emergency transesophageal suturing of the bleeding vessels
at the time of acute hemorrhage. This procedure has been performed in eleven patients
during the past two years with one immediate postoperative death, or an operative
mortality of 9 per cent. It is recommended especially for the patient with cirrhosis
of the liver with uncontrollable bleeding in whom balloon tamponade is necessary to
stop the bleeding, since not infrequently bleeding starts again after removal of the
balloon. Immediate or early suturing of the ruptured esophageal varix is considered
a lifesaving procedure in these cases and it permits, in addition, adequate time to
prepare the patients, many of whom are critically ill, for the major surgical procedure
of constructing some type of portacaval shunt. This two-stage operative method has
been accomplished successfully in six patients with bleeding esophageal varices secondary
to cirrhosis of the liver.
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References
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White, B.: Personal communication.
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Article info
Footnotes
☆Read at the sixth annual meeting of the Society for Vascular Surgery, Chicago, Ill, June 8, 1952.
Identification
Copyright
© 1953 Published by Elsevier Inc.
