SIGNIFICANCE AND RESULTS OF ESOPHAGEAL TR ANSECTION IN THE TREATMENT OF ESOPHAGEAL VARICEAL BLEEDING

A report on 40 patients is given, who had to undergo esophageal transe ction due to bleeding varices. 17 patients were operated as an emergen cy, 23 patients had a prophylactic treatment. Mortality was high with 58.82% and 21.7% respectively. The need of blood replacement was highe r in the emergencies. The main cause of death was liver failure, the a verage time of survival 40 months. We conclude that esophageal transec tion is of some value in cases of acute bleeding, after failure of non interventional treatment.