Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Revista colombiana de Gastroenterología
Print version ISSN 0120-9957
Abstract
RICO J, Juan Manuel; CASTRO-VILLEGAS, Felipe and OCAMPO B, Carmen Elisa. Modified sugiura procedure: an alternative for non-cirrhotic patients with extrahepatic portal vein thrombosis and recurrent variceal bleeding. Rev Col Gastroenterol [online]. 2020, vol.35, n.3, pp.377-381. Epub Mar 01, 2021. ISSN 0120-9957. https://doi.org/10.22516/25007440.383.
One of the most serious consequences of extrahepatic portal vein thrombosis is portal hypertension with recurrent variceal bleeding. Once endoscopic variceal ligation fails and the spleno-portal axis is not permeable, modified Sugiura devascularization may be the only alternative. Its use in patients with cirrhosis has been reported, but there is little information on non-cirrhotic patients. This article presents a series of four cases of non-cirrhotic patients that underwent this procedure. Patients were followed for twelve months; none presented episodes of esophageal varices re-bleeding nor required ligation of residual varices. This surgery is outlined as a therapeutic alternative for this type of patients.
Keywords : Thrombosis, portal vein, extrahepatic; Portal hypertension; Modified Sugiura; Esophageal varices; Cirrhosis.