{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:15:31Z","timestamp":1761894931797},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2009,7,28]],"date-time":"2009-07-28T00:00:00Z","timestamp":1248739200000},"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":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Gastric variceal bleeding is life\u2010threatening, and occasionally it requires operative intervention, but its treatment is controversial. Based on our experience, we considered that fundectomy and periesophagogastric devascularization (FPD) offers an effective treatment method. Accordingly, this study was undertaken to document postoperative and long\u2010term follow\u2010up results, such as, gastric variceal bleeding recurrence and patient survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted on 41 patients with gastric fundal variceal bleeding who underwent FPD between August 1994 and May 2005. The evaluation included clinical characteristics, operative morbidity, mortality, and long\u2010term follow up results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Operative morbidity and mortality rates were 26.8% and 17.1%, respectively. Child\u2010Pugh classification, number of previous variceal bleeding episodes, success of preoperative intervention, and ongoing active bleeding during surgery were all factors found to have significant effects on postoperative mortality. No recurrent bleeding from gastric varices was encountered over a median follow\u2010up period of 52.1\u00a0months. The cumulative 5\u2010year survival rate was 62.0%, and the major causes of death were hepatocellular carcinoma (HCC) and hepatic failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The operative procedure used in this study resulted in a low rate of recurrent bleeding and good long\u2010term survival. This analysis of results suggests that fundectomy and periesophagogastric devascularization is an effective therapeutic intervention in patients with fundal variceal bleeding<jats:bold>.<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0153-9","type":"journal-article","created":{"date-parts":[[2009,7,27]],"date-time":"2009-07-27T15:05:09Z","timestamp":1248707109000},"page":"2144-2149","source":"Crossref","is-referenced-by-count":8,"title":["Long\u2010Term Results of Fundectomy and Periesophagogastric Devascularization in Patients with Gastric Fundal Variceal Bleeding"],"prefix":"10.1002","volume":"33","author":[{"given":"Joo\u2010Ho","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Surgery Ewha Womans University, School of Medicine 911\u20101, Mok\u20106\u2010Dong, Yangcheon\u2010Gu 158\u2010710 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho\u2010Seong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun\u2010Ah","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea Cancer Center Hospital, Korea Institute of Radiological &amp; Medical Science Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min\u2010Young","family":"Koo","sequence":"additional","affiliation":[{"name":"Department of Surgery Ewha Womans University, School of Medicine 911\u20101, Mok\u20106\u2010Dong, Yangcheon\u2010Gu 158\u2010710 Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,7,28]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.1840160607"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1089\u20103261(05)70188\u20104"},{"key":"e_1_2_6_4_2","first-page":"979","article-title":"The long\u2010term morbidity and mortality in a cohort of patients with liver cirrhosis and esophageal varices","volume":"42","author":"Nevens F","year":"1995","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010003\u20106923\u2010x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101746.2005.03992.x"},{"key":"e_1_2_6_7_2","first-page":"949","article-title":"The treatment of gastric fundal varices\u07ddendoscopic therapy versus interventional radiology","volume":"52","author":"Taniai N","year":"2005","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00535\u2010005\u20101654\u20104"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v11.i47.7531"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000195192.30029.d6"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.04.0607"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40560-6"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106060(96)80011\u20100"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(86)90010\u20103"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00294405"},{"key":"e_1_2_6_16_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_6_17_2","first-page":"232","article-title":"Gastroesophageal decongestion and splenectomy. A method of prevention and treatment of bleeding from esophageal varices associated with bilharzial hepatic fibrosis: preliminary report","volume":"41","author":"Hassab MA","year":"1964","journal-title":"J Int Coll Surg"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1155\/1994\/50485"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(94)90059\u20100"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/bega.2000.0138"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1386\u20106346(99)00072\u20108"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-009-0153-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-009-0153-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-009-0153-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T03:19:19Z","timestamp":1704943159000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-009-0153-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7,28]]},"references-count":20,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["10.1007\/s00268-009-0153-9"],"URL":"https:\/\/doi.org\/10.1007\/s00268-009-0153-9","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,7,28]]}}}