Modified Sugiura Operation for Idiopathic Portal Hypertension with Bleeding Oesophageal Varices. A Case Report

Abstract

A case of a 36 years old man presenting massive upper GI bleeding due to oesophageal varices developed in the context of an idiopathic portal cavernoma and extensive porto-splenic thrombosis is discussed. He underwent a successful modified Sugiura operation (oesophago-gastric devascularisation and splenectomy [OGDS]) completed with interventional endoscopic treatment of residual oesophageal varices.

The benefit of the modified Sugiura procedure proposed for the treatment of upper GI variceal bleeding developed in the context of splanchnic venous thrombosis is discussed.

The procedure is a valid therapy in the treatment of symptomatic extra-hepatic hypertension when other options are inapplicable.

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Notes on contributors

J. Lerut

Prof. J. P. Lerut, M.D., Ph.D., F.A.C.S. Starzl Unit of Abdominal Transplantation Cliniques Universitaires St-Luc Universite catholique de Louvain - UCL Avenue Hippocrates 10 1200 Brussels, Belgique Tel.: [phone] Fax: [phone] E-mail: [email protected]