The Sugiura procedure for bleeding esophageal varices: a modification.

The Sugiura procedure is an operation for control of bleeding esophageal varices. Splenectomy, extensive paraesophagogastric devascularization, and transection and anastomosis of the esophagus are performed through two incisions. The modifications described by the authors, such as the single thoracoabdominal incision and use of a stapler, simplify and shorten the operation. Preliminary results in nine patients are encouraging.