{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T18:41:00Z","timestamp":1723142460391},"reference-count":0,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":520,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1999,1]]},"abstract":"<jats:p>The results of a modified Sugiura devascularisation\nprocedure were assessed in 14 patients with thrombosis\nof the portal and splenic vein requiring surgery\nfor variceal hemorrhage, with no vein suitable\nfor orthodox shunt surgery. The venous anatomy\nwas determined by ultrasonography with Doppler\nstudies and portovenography. Liver biochemistry as\nwell as liver architecture on histopathology was\nnormal in all. The surgery was elective in 9 cases for\ndocumented bleed from diffuse fundal gastric\nvarices (FGV) and emergency in 5 cases, 3 having\nbleeding FGV and 2 for failure of emergency\nesophageal variceal sclerotherapy. All were subjected\nto a transabdominal extensive devascularisation\nof the upper two third of the stomach and lower\n7\u201310cm of the esophagus. Stapled esophageal\ntransection (<jats:italic>n<\/jats:italic>=11) or esophageal variceal under\u2010running\n(<jats:italic>n<\/jats:italic>=1) was performed in all with esophageal\nvarices. FGV were underrun. Follow up endoscopies\nwere done six monthly. There were 9 males and 5\nfemales with a mean age of 17.2 years (SD 12.8).\nThere was no operative mortality. Acute variceal\nbleeding was controlled in all patients. Over a mean\nfollow up of 38 months, all but one remain free of\nrecurrent bleeding. We conclude that a modified\nSugiura devascularisation procedure is effective in\nthe immediate and medium term control of variceal\nbleeding in patients with \u201cunshuntable\u201d portal\nhypertension.<\/jats:p>","DOI":"10.1155\/1999\/59087","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"235-239","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Results of a Modified Sugiura\u2032s Devascularisation in theManagement of \u201cUnshuntable\u201d Portal Hypertension"],"prefix":"10.1155","volume":"11","author":[{"given":"S. R.","family":"Shah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. S.","family":"Nagral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. K.","family":"Mathur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1998,7,30]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1999\/059087.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/hpb\/1999\/059087.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1999\/59087","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T17:52:57Z","timestamp":1723139577000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1999\/59087"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,7,30]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1999,1]]}},"alternative-id":["10.1155\/1999\/59087"],"URL":"https:\/\/doi.org\/10.1155\/1999\/59087","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1998,7,30]]},"assertion":[{"value":"1997-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1998-07-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1998-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}