{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T04:05:48Z","timestamp":1727582748554},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[1991,11,1]],"date-time":"1991-11-01T00:00:00Z","timestamp":688953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Thirty-six patients with oesophageal varices underwent a non-shunting operation including oesophageal transection. Of these, 16 had an emergency or elective operation (bleeders) and the remaining 20 had prophylactic surgery (non-bleeders). A comparative study was performed between the bleeders and non-bleeders in terms of preoperative endoscopic findings and histopathology of the oesophagus. The severity of red colour sign showed no significant difference between the two groups. The venous dilatation in each of the three layers of the oesophageal mucosa was demonstrated histologically to be of the same degree in bleeders and non-bleeders. In addition, the hepatic venous pressure gradient in cirrhotic patients did not differ between the two groups; for bleeders this was a mean(s.d.) of 15.2(6.1) mmHg and for non-bleeders 14.4(2.9) mmHg. We were unable to find any factors differentiating bleeders from non-bleeders, although these results do not justify prophylactic surgery for oesophageal varices.<\/jats:p>","DOI":"10.1002\/bjs.1800781127","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T15:21:36Z","timestamp":1172935296000},"page":"1352-1354","source":"Crossref","is-referenced-by-count":2,"title":["Histopathological study of oesophageal mucosa in patients with varices: A comparison between bleeders and non-bleeders"],"prefix":"10.1093","volume":"78","author":[{"given":"M","family":"Hirata","sequence":"first","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, University of Tokyo , Hongo 7-3-1, Bunkyo-ku, Tokyo 113,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, University of Tokyo , Hongo 7-3-1, Bunkyo-ku, Tokyo 113,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Sanjo","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, University of Tokyo , Hongo 7-3-1, Bunkyo-ku, Tokyo 113,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Idezuki","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, University of Tokyo , Hongo 7-3-1, Bunkyo-ku, Tokyo 113,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1991,11,1]]},"reference":[{"key":"2024092809082336500_bib1","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1007\/BF02468653","article-title":"The general rules for recording endoscopic findings on esophageal varices","volume":"10","author":"Japanese Research Society for Portal Hypertension","year":"1980","journal-title":"Jpn J Surg"},{"key":"2024092809082336500_bib2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/S0016-5107(81)73224-3","article-title":"Prediction of variceal hemorrhage by esophageal endoscopy","volume":"27","author":"Beppu","year":"1981","journal-title":"Gastrointest Endosc"},{"key":"2024092809082336500_bib3","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00000658-198407000-00010","article-title":"Prophylactic portal nondecompression surgery in patients with esophageal varices. An interim report","volume":"200","author":"Inokuchi","year":"1984","journal-title":"Ann Surg"},{"key":"2024092809082336500_bib4","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1056\/NEJM196506172722402","article-title":"Prophylactic portacaval anastomosis in cirrhotic patients with esophageal varices","volume":"272","author":"Conn","year":"1965","journal-title":"N Engl J Med"},{"key":"2024092809082336500_bib5","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1056\/NEJM196403052701003","article-title":"A controlled trial of prophylactic portacaval shunt surgery","volume":"270","author":"Garceau","year":"1964","journal-title":"N Engl J Med"},{"key":"2024092809082336500_bib6","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/0002-9610(68)90127-X","article-title":"A clinical investigation of the portacaval shunt","volume":"115","author":"Jackson","year":"1968","journal-title":"Am J Surg"},{"key":"2024092809082336500_bib7","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1056\/NEJM196810032791401","article-title":"Prophylactic portacaval anastomosis in cirrhotic patients with esophageal varices","volume":"279","author":"Conn","year":"1968","journal-title":"N Engl J Med"},{"key":"2024092809082336500_bib8","doi-asserted-by":"crossref","first-page":"675","DOI":"10.7326\/0003-4819-70-4-675","article-title":"A controlled study of the prophylactic portacaval shunt: a final report","volume":"70","author":"Resnich","year":"1969","journal-title":"Ann Intern Med"},{"key":"2024092809082336500_bib9","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/S0022-5223(19)34266-7","article-title":"Twenty-five-year experiences with esophageal transection for esophageal varices","volume":"98","author":"Idezuki","year":"1989","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809082336500_bib10","first-page":"406","article-title":"Treatment of bleeding esophageal varices by transection with the EEA stapling instrument","volume":"88","author":"Wexler","year":"1980","journal-title":"Surgery"},{"key":"2024092809082336500_bib11","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1002\/bjs.1800740802","article-title":"Venous anatomy of the lower oesophagus: a new perspective on varices","volume":"74","author":"Spence","year":"1987","journal-title":"Br J Surg"},{"key":"2024092809082336500_bib12","first-page":"3","volume-title":"Variceal Bleeding","author":"Reynolds","year":"1982"},{"key":"2024092809082336500_bib13","first-page":"1297","article-title":"Hemodynamic evaluation of patients with intrahepatic portal hypertension","volume":"69","author":"Viallet","year":"1975","journal-title":"Gastroenterology"},{"key":"2024092809082336500_bib14","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1002\/hep.1840050313","article-title":"Portal pressure, presence of gastroesophageal varices and variceal bleeding","volume":"5","author":"Garcia-Tsao","year":"1985","journal-title":"Hepatology"},{"key":"2024092809082336500_bib15","first-page":"253","article-title":"Histologic factors of the esophageal transection ring as clues to the pathogenesis of bleeding varices","volume":"159","author":"Spence","year":"1984","journal-title":"Surg Gynecol Obstet"},{"key":"2024092809082336500_bib16","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1136\/gut.24.11.1024","article-title":"Oesophageal mucosal changes in patients with varices","volume":"24","author":"Spence","year":"1983","journal-title":"Gut"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800781127","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/78\/11\/1352\/59393328\/bjs1800781127.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/78\/11\/1352\/59393328\/bjs1800781127.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T09:08:30Z","timestamp":1727514510000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/78\/11\/1352\/6175381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,11,1]]},"references-count":16,"journal-issue":{"issue":"11","published-online":{"date-parts":[[1991,11,1]]},"published-print":{"date-parts":[[1991,11,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800781127","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1991,11]]},"published":{"date-parts":[[1991,11,1]]}}}