{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T06:59:15Z","timestamp":1761893955622},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2004,3,4]],"date-time":"2004-03-04T00:00:00Z","timestamp":1078358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cirrhotic patients with gastric fundal bleeding occasionally require operative intervention. Fundal variceal bleeding may be controlled by performing a fundectomy in addition to periesophagogastric devascularization. For 23 patients with cirrhosis, preoperative nonsurgical intervention alone could not achieve definitive control of variceal bleeding from the gastric fundus, and periesophagogastric devascularization with the fundectomy\u2014specifically resection of the varix\u2010bearing lesion in the fundus\u2014was performed. Direct inspection and palpation determined the area for the fundectomy, and resection was limited to the engorged varix\u2010bearing area. The overall mortality rate was 26.1%. There were two postoperative deaths (18.2%) among 11 patients in the elective operation group and four deaths (33.3%) among 12 patients in the emergency operation group (<jats:italic>p<\/jats:italic> &gt; 0.05). The mortality rates among class A, B, and C patients, following the Child\u2010Pugh classification for hepatic functional reserve, were 0% (0\/4), 23.1% (3\/13), and 50.0% (3\/6), respectively (<jats:italic>p<\/jats:italic> &gt; 0.05). The patients who died had been transfused preoperatively with a mean of 13.0 \u00b1 10.5 units, and those who survived received a mean of 6.00 \u00b1 5.96 units (<jats:italic>p<\/jats:italic> &gt; 0.05). Patients who were successfully stabilized by preoperative endoscopic intervention had significantly lower mortality (<jats:italic>p<\/jats:italic> &lt; 0.001). During follow\u2010up there was no recurrent bleeding from gastric varices, and there was only one case (4.35%) of hemorrhage from esophageal varices. Hence, periesophagogastric devascularization and fundectomy offers an alternative operative method for cirrhotic patients with variceal hemorrhaging from the gastric fundus.<\/jats:p>","DOI":"10.1007\/s00268-003-6923-x","type":"journal-article","created":{"date-parts":[[2004,4,19]],"date-time":"2004-04-19T12:45:19Z","timestamp":1082378719000},"page":"406-410","source":"Crossref","is-referenced-by-count":9,"title":["New Operative Method for Fundal Variceal Bleeding: Fundectomy with Periesophagogastric Devascularization"],"prefix":"10.1002","volume":"28","author":[{"given":"Ho\u2010Seong","family":"Han","sequence":"first","affiliation":[{"name":"Department of Surgery College of Medicine, Seoul National University Ewha Women\u2019s University 463\u2010707 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nam\u2010Joon","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, Seoul National University Ewha Women\u2019s University 463\u2010707 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young\u2010Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University National Cancer Center, 411\u2010474 Gyeonggi\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary D.","family":"Fleischer","sequence":"additional","affiliation":[{"name":"Department of Surgery General Hospital Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,3,4]]},"reference":[{"key":"e_1_2_8_2_2","first-page":"1060","volume-title":"Textbook of Surgery: The Biological Basis of Modern Surgical Practice","author":"Rikkers LF","year":"2001"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102003\u201037020"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.119501"},{"key":"e_1_2_8_5_2","first-page":"38","article-title":"Gastro\u2010esophageal decongestion and splenectomy, GEDS (Hassab), in the management of bleeding varices: review of literature","volume":"83","author":"Hassab MA","year":"1998","journal-title":"Int. Surg."},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.1840160607"},{"key":"e_1_2_8_7_2","first-page":"980","article-title":"Hassab operation with intraoperative endoscopic injection sclerotherapy (\u201cHassab\u2010EIS\u201d) for esophagogastric varices: with an autopsied case after excessive gastric vascular damage","volume":"43","author":"Nakamura H","year":"1996","journal-title":"Hepatogastroenterology."},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(00)00735\u20103"},{"key":"e_1_2_8_9_2","first-page":"1244","article-title":"Gastric varices: profile, classification, and management","volume":"84","author":"Sarin SK","year":"1989","journal-title":"Am. Coll. Gastroenterol."},{"key":"e_1_2_8_10_2","unstructured":"HanHS BaeJM KimYW et al.Gastric fundectomy with esophageal transection anastomosis in gastric variceal bleeding. In World Congress of CICD Proceedings (1996)581\u2013585"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005350050077"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02498809"},{"key":"e_1_2_8_13_2","first-page":"170","article-title":"A case of esophageal and duodenal varices treated with Hassab\u2019s procedure and ligation of the duodenal varix","volume":"97","author":"Ogawa A","year":"2000","journal-title":"Nippon Shokakibyo Gakkai Zasshi."},{"key":"e_1_2_8_14_2","first-page":"49","article-title":"A new operation for the management of gastric varix bleeding","volume":"43","author":"Yu TJ","year":"1989","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"e_1_2_8_15_2","first-page":"6","article-title":"Surgery for bleeding esophageal varices","volume":"45","author":"Cheema MA","year":"1995","journal-title":"J. Pakistan Med. Assoc."},{"key":"e_1_2_8_16_2","first-page":"165","article-title":"Hemodynamics and treatment based on endoscopic classification of esophago\u2010gastric varices","volume":"94","author":"Shirai Z","year":"1993","journal-title":"Nippon Geka Gakkai Zasshi."},{"key":"e_1_2_8_17_2","first-page":"837","volume-title":"Textbook of Surgery: The Biological Basis of Modern Surgical Practice","author":"Cheung LY","year":"2001"},{"key":"e_1_2_8_18_2","first-page":"356","article-title":"A comparative study of complications after vagotomy\u2010pyloroplasty using Sugiura\u2010Futagawa procedure and surgery of acid peptic disease","volume":"61","author":"Orozco H","year":"1996","journal-title":"Rev. Gastroenterol. Mex."},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(98)00181\u20101"},{"key":"e_1_2_8_20_2","first-page":"817","volume-title":"Textbook of Surgery: The Biological Basis of Modern Surgical Practice","author":"Bass BA","year":"2001"},{"key":"e_1_2_8_21_2","first-page":"979","article-title":"The long\u2010term morbidity and mortality rate in a cohort of patients with liver cirrhosis and oesophageal varices","volume":"42","author":"Nevens F","year":"1995","journal-title":"Hepatogastroenterology"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-003-6923-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-003-6923-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-003-6923-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T09:52:11Z","timestamp":1703411531000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-003-6923-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,3,4]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,4]]}},"alternative-id":["10.1007\/s00268-003-6923-x"],"URL":"https:\/\/doi.org\/10.1007\/s00268-003-6923-x","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,3,4]]}}}