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(Chest. 1967;52:621-631.)
© 1967 American College of Chest Physicians

Rationale for Transthoracic Esophageal Transection for Bleeding Varices

Yasuo Idezuki M.D.1; Mitsuo Sugiura M.D.1; Keisuke Sakamoto M.D.1; Hideichi Abe M.D.1; Tsuyoshi Miura M.D.1; Shigeru Hatano M.D., Ph.D.2; and Seiji Kimoto M.D., Ph.D.3

1 Second Department of Surgery, Faculty of Medicine, University of Tokyo
2 Professor of Surgery
3 Professor and Chairman of Surgery

Rationale for transthoracic esophageal transection has been clarified in animal experimentation, and the results of clinical transthoracic esophageal transection for bleeding varices in 15 patients were reported.

Esophageal transection extirpated all the collaterals to the esophageal varices and the regeneration of the collaterals in the esophageal region was much less than expected, probably because of the sufficient compensation with other collaterals and because of the tight scar tissue at the site of esophageal reconstruction.

Fourteen of the 15 patients survived the operation and had no further bleeding from esophageal varices throughout the follow-up period up to 22 months.






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Copyright © 1967 by the American College of Chest Physicians.