{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T08:37:09Z","timestamp":1725698229118},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,4,21]],"date-time":"2006-04-21T00:00:00Z","timestamp":1145577600000},"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":[[2006,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Management of continued bleeding from esophageal varices despite adequate injection sclerotherapy remains one of the medical and surgical dilemmas. Transabdominal gastroesophageal devascularization and esophageal transection (TGDET) is considered an effective and safe procedure for such patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed at presenting continued evaluation of TGDET. Various problems influencing the early outcome are discussed, and long\u2010term outcome is analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a prospective clinical descriptive study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective data was collected on 142 consecutive patients managed by one group of surgeons over a 5 year\u2010period and 15 years follow\u2010up after failed injection sclerotherapy for variceal bleeding. Evaluation was made in terms of effectiveness in controlling the acute bleeding, postoperative morbidity and mortality, recurrent bleeding, encephalopathy, and long\u2010term survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 133\u00a0men and 9 women. Mean age was 41.8 years. Etiology of portal hypertension was bilharziasis in 54.9% and posthepatitic in 14.8%. Child\u2013Pugh grading on admission was A: 47.2%, B: 28.8%, and C: 14%. Hemorrhage was controlled in all cases. Clinical leak was observed in 5.6%, portal vein thrombosis in 6.3%, and staple line erosion in 2.1% of cases. No patient developed encephalopathy. In\u2010hospital mortality was 12.7%. Complete eradication of varices was observed in 70.6% patients. Recurrent variceal bleeding was noticed in 6.9% of cases. Actuarial 15\u2010year survival for Child\u2013Pugh A patients was 44%, B was 22.5%, and none for C.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TGDET remains a safe and effective procedure after failure of sclerotherapy when other alternatives are either not indicated or not available.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-005-0372-7","type":"journal-article","created":{"date-parts":[[2006,4,21]],"date-time":"2006-04-21T05:27:04Z","timestamp":1145597224000},"page":"1329-1337","source":"Crossref","is-referenced-by-count":8,"title":["Transabdominal Gastro\u2010esophageal Devascularization and Esophageal Transection for Bleeding Esophageal Varices after Failed Injection Sclerotherapy: Long\u2010Term Follow\u2010Up Report"],"prefix":"10.1002","volume":"30","author":[{"given":"Shabir Ahmad","family":"Qazi","sequence":"first","affiliation":[{"name":"Department of General Surgery Riyadh Medical Complex Riyadh Kingdom of Saudi 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