Abstract

RICO J, Juan Manuel; CASTRO-VILLEGAS, Felipe  and  OCAMPO B, Carmen Elisa. Modified sugiura procedure: an alternative for non-cirrhotic patients with extrahepatic portal vein thrombosis and recurrent variceal bleeding. Rev Col Gastroenterol [online]. 2020, vol.35, n.3, pp.377-381.  Epub Mar 01, 2021. ISSN 0120-9957.  https://doi.org/10.22516/25007440.383.

One of the most serious consequences of extrahepatic portal vein thrombosis is portal hypertension with recurrent variceal bleeding. Once endoscopic variceal ligation fails and the spleno-portal axis is not permeable, modified Sugiura devascularization may be the only alternative. Its use in patients with cirrhosis has been reported, but there is little information on non-cirrhotic patients. This article presents a series of four cases of non-cirrhotic patients that underwent this procedure. Patients were followed for twelve months; none presented episodes of esophageal varices re-bleeding nor required ligation of residual varices. This surgery is outlined as a therapeutic alternative for this type of patients.

Keywords : Thrombosis, portal vein, extrahepatic; Portal hypertension; Modified Sugiura; Esophageal varices; Cirrhosis.

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