{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:00:54Z","timestamp":1777906854502,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2001,4,1]],"date-time":"2001-04-01T00:00:00Z","timestamp":986083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2001,4]]},"abstract":"<jats:p>In developing countries surgery is indicated in patients with portal hypertension for a variety of reasons. This study prospectively evaluates a modified technique of devascularization for secondary prophylaxis of variceal bleeding in patients with portal hypertension of different aetiologies.<\/jats:p>\n                  <jats:p>Transabdominal extensive oesophagogastric devascularization combined with transmural ligation of oesophageal and gastric varices was performed in 16 paediatric patients (nine with extrahepatic portal venous obstruction, and seven with non-cirrhotic portal fibrosis) in an elective setting. The Sugiura devascularization procedure was modified to minimize the operating time and to avoid the problems associated with oesophageal transection and anastomosis.<\/jats:p>\n                  <jats:p>The operative mortality rate as well as the oesophageal leak rate was zero. One patient developed an oesophageal stricture. During a 12-month follow-up, patients were seen with residual varices (2), recurrent varices (3) and rebleeding (1). Porto-systemic encephalopathy was seen in one patient only.<\/jats:p>\n                  <jats:p>This technique is a simple, straightforward, safe and effective modification of the Sugiura procedure in controlling bleeding, providing good quality of life with minimal porto-systemic encephalopathy.<\/jats:p>","DOI":"10.1177\/004947550103100213","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T15:52:03Z","timestamp":1484322723000},"page":"93-95","source":"Crossref","is-referenced-by-count":10,"title":["A Modified Technique of Devascularization for Surgical Management of Portal Hypertension in Children"],"prefix":"10.1177","volume":"31","author":[{"given":"Dhananjaya","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Surgery, NSCB Government Medical College, Jabalpur 482003 (MP), India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Surgery, NSCB Government Medical College, Jabalpur 482003 (MP), India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjun","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Surgery, NSCB Government Medical College, Jabalpur 482003 (MP), India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijay K","family":"Raina","sequence":"additional","affiliation":[{"name":"Department of Surgery, NSCB Government Medical College, Jabalpur 482003 (MP), 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