Early experience with the Boerema button for bleeding oesophageal varices

Author:

Johnston G W1,Kelly J M1

Affiliation:

1. Royal Victoria Hospital, Belfast

Abstract

Abstract Early experience with the use of the Boerema button for bleeding oesophageal varices is reported. A simplified technique for its insertion is described, and of the 6 patients so treated, only 1 died. No patient has re-bled in the short follow-up period available, and oesophageal appearances suggest that prolonged relief from bleeding can be anticipated. Further exploration of the button ligation transection technique is suggested not only for control of acute bleeding, but also for patients unsuitable for shunt surgery.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Transabdominal ligation-resection of the oesophagus in cases of bleeding oesophageal varices;Boerema;Surgery,1970

2. Pilot experience with the ‘Boerema button’ in emergency management of bleeding oesophageal varices;Burns;Am. J. Surg.,1971

3. Emergency oesophageal transection in uncontrolled variceal haemorrhage;George;Br. J. Surg.,1973

4. A review of fifteen years' experience in the use of sclerotherapy in the control of acute haemorrhage from oesophageal varices;Johnston;Br. J. Surg.,1973

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1. Esophageal varices;Blumgart's Surgery of the Liver, Pancreas and Biliary Tract;2012

2. Operative Devascularization and Esophageal Transection;Surgery of the Liver, Biliary Tract and Pancreas;2007

3. Ite Boerema—surgeon and engineer with a double-Dutch legacy to medical technology;Surgery;2004-01

4. Surgical Measures for Active Variceal Bleeding;Gastrointestinal Endoscopy Clinics of North America;1992-01

5. Prevention of Recurrent Bleeding: Nonshunt Surgery;Portal Hypertension;1991

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