Weese J L, Starling J R, Yale C E
Surg Gastroenterol. 1984;3(1):31-6.
Between November 1980 and October 1982, 11 patients underwent modified Sugiura procedures (esophageal transection, gastric devascularization, and splenectomy) for bleeding esophageal varices, with an operative mortality of 36%. One patient rebled at 2 months and was successfully managed by sclerotherapy. Intraoperative portal pressure fell approximately 25% after splenectomy. We contend that esophageal transection and gastric devascularization provide good short-term control of bleeding varices, and that the decrease in portal pressure provided by splenectomy allows scars to form during a period of reduced portal pressure, providing long-term arrest of variceal hemorrhage.
1980年11月至1982年10月期间，11例患者因食管静脉曲张破裂出血接受了改良的Sugiura手术（食管横断术、胃去血管化和脾切除术），手术死亡率为36%。1例患者在术后2个月再次出血，通过硬化疗法成功处理。脾切除术后术中门静脉压力下降约25%。我们认为食管横断术和胃去血管化能很好地短期控制曲张静脉出血，并且脾切除术导致的门静脉压力下降能使瘢痕在门静脉压力降低期间形成，从而长期阻止曲张静脉出血。
