Abstract
This paper presents the preliminary results with the SPTU stapling gun for oesophageal transection in the treatment of bleeding oesophageal varices. Porta-systemic shunt was contraindicated in all 12 patients treated, 10 of whom had cirrhosis. Anastomotic leakage and recurrent bleeding were not problems, but stricture formation was, 4 of the 11 survivors requiring dilatation. The average period of follow-up is only 7 months, but early results encourage further trial of the method for the increasing numbers of 'shunt rejects'.
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Selected References
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