{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:44:14Z","timestamp":1747183454686,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T00:00:00Z","timestamp":1644278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Recent reports have shown laparoscopic gastric devascularization and splenectomy (Hassab's procedure) to be a safe and effective treatment for esophagogastric varices with portal hypertension. However, the long\u2010term postoperative results remain unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2009 and 2015, 17 patients with portal hypertension and esophagogastric varices underwent laparoscopic Hassab's procedure at our institution. Two patients were lost to long\u2010term follow\u2010up (at least 2\u2009years) and excluded. The remaining 15 patients' data and endoscopic findings were retrospectively reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median postoperative follow\u2010up period was 56\u2009months. The median spleen volume, operation time, blood loss, and length of postoperative hospital stay were 651 (320\u20131,265) mL, 305 (275\u2013547) minutes, 347 (24\u20131,131) mL, and 20 (8\u201341) days, respectively. According to the endoscopic findings 1\u2009year after surgery, the esophagogastric varices disappeared in three patients and improved in 12 patients. The median platelet count was significantly higher 1\u2009year after surgery (19.7\u2009\u00d7\u200910<jats:sup>4<\/jats:sup>\/dL) than before surgery (5.5\u2009\u00d7\u200910<jats:sup>4<\/jats:sup>\/dL) (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and remained stable 2\u2009years after surgery. Two patients died of liver disease. The remaining 13 patients, with a median postoperative follow\u2010up of 57\u2009months, were alive without bleeding from esophagogastric varices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic Hassab's procedure is a feasible treatment for esophagogastric varices with portal hypertension in terms of both short\u2010 and long\u2010term results.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.13038","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T09:30:04Z","timestamp":1644312604000},"page":"505-512","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long\u2010term results of laparoscopic Hassab's procedure for esophagogastric varices with portal hypertension"],"prefix":"10.1111","volume":"15","author":[{"given":"Hiroyuki","family":"Fujisaki","sequence":"first","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5273-5362","authenticated-orcid":false,"given":"Yasuyuki","family":"Fukami","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Arikawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Saito","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Osawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunichiro","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenitiro","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Kurokawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Nonami","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Sano","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University  Nagakute Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510250113"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2012.08.020"},{"key":"e_1_2_8_4_1","first-page":"232","article-title":"Gastroesophageal decongestion and Splenectomy. 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