Treatment of XXXX esophageal varices by portoazygos disconnection and esophageal transection with the button of Boerema and EEA stapler: ten years' experience.

@entity1 @entity548 @entity75 @entity409 @entity1282 @entity360
We present 64 @entity1 with @entity548 esophageal varices who have been treated with portoazygos disconnection, devascularization of the esophagogastric junction, and esophageal transection with the button of Boerema (32 @entity1 ) and EEA stapler (32 @entity1 ). The @entity1 were treated between 1973 and 1983. Their ages ranged from 50 to 70 years. Based on @entity1 's classification, 26 (37.5%) of the @entity1 fell into class A, 35 (54.6%) in class B, and five (7.8%) in class C. These @entity1 were also divided into three subgroups: group I--21 @entity1 (32.8%) underwent emergency operations; group II--40 @entity1 (62.5%) underwent semiemergency operations; and group III--three @entity1 (4.7%) underwent elective operations. The perioperative mortality rate was 10.8%. With the Fischer exact test, we found the combined death rate of @entity1 's classes A and B to be significantly lower than that for class C @entity1 . The duration of follow-up ranged from 6 months to 9 years (average 32.9 months) in the 80% of the @entity1 that we were able to follow. There was a 6.5% incidence of recurrent @entity360 and a 28% incidence of late @entity75 . The incidence of transitory @entity1282 was 40% when the button of Boerema was used as compared with 9% when the EEA stapler was used. The surgical approach presented herein is an attractive alternative to portosystemic decompression for @entity1 in whom @entity409 is complicated by uncontrolled @entity548 .
