{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T10:33:38Z","timestamp":1769164418418,"version":"3.49.0"},"reference-count":0,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1996,3,1]],"date-time":"1996-03-01T00:00:00Z","timestamp":825638400000},"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":[[1996,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>From January 1980 to January 1986 a total of 93 patients with portal hypertension (59\u00a0males, 34 females; average age 51.5 years) underwent the modified Sujura\u2019s operation. All patients presented with esophageal varices during the preoperative endoscopic workup. Child\u2019s risk category was A in 6 patients and B in the remaining 87. Our technique consisted of: (1) devascularization of the upper half of the gastric corpus and fundus; (2) devascularization of the last 10 to 12\u00a0cm of the thoracic esophagus; (3) pyloric divulsion; (4) resection and anastomosis at the esophagogastric junction; and (5) antireflux fundoplication. In the presence of severe hypersplenism we added splenectomy. The surgical approach was through a xiphoumbilical laparotomy, extended to the left side when splenectomy was anticipated. We observed 19.8% early mortality (10% with elective procedures and 27.2% with emergency operations) and two cases of early rebleeding from acute mucosal lesions. Long\u2010term follow\u2010up of 82 patients revealed 30 cases of rebleeding (36.6%). Ruptured esophageal varices occurred in 12 patients (11 were treated with endoscopic sclerotherapy), whereas in 11 patients the cause of bleeding was a hemorrhagic gastritis. Of the remaining patients, two had rebleeding from a gastric ulcer, one from gastric varices, one from duodenal varices; in three patients the source of the hemorrhage remains unknown. The survival for elective procedure patients was 59.2% at 5 years and 40.7% at 10 years.<\/jats:p>","DOI":"10.1007\/s002689900051","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T05:57:49Z","timestamp":1030255069000},"page":"319-325","source":"Crossref","is-referenced-by-count":9,"title":["Modified Sujura Operation: Long\u2010Term Results"],"prefix":"10.1002","volume":"20","author":[{"given":"G.","family":"Battaglia","sequence":"first","affiliation":[{"name":"Department of General Surgery II University of Padua Via Giustiniani 2 35128 Padua Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Ancona","sequence":"additional","affiliation":[{"name":"Department of General Surgery II University of Padua Via Giustiniani 2 35128 Padua Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Patarnello","sequence":"additional","affiliation":[{"name":"Department of General Surgery II University of Padua Via Giustiniani 2 35128 Padua Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Morbin","sequence":"additional","affiliation":[{"name":"Department of General Surgery II University of Padua Via Giustiniani 2 35128 Padua Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Anselmino","sequence":"additional","affiliation":[{"name":"Department of General Surgery II University of Padua Via Giustiniani 2 35128 Padua Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Peracchia","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Surgical Oncology University of Milan Milan Italy<!--<country1>IT<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1996,3]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s002689900051.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s002689900051\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s002689900051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T19:46:52Z","timestamp":1705002412000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s002689900051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,3]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1996,3]]}},"alternative-id":["10.1007\/s002689900051"],"URL":"https:\/\/doi.org\/10.1007\/s002689900051","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,3]]}}}