Esophageal devascularization operations such as the Sugiura procedure can also be used to stop complicated variceal bleeding.
2.
The thoracic operation consists of an extensive paraesophageal devascularization up to the inferior pulmonary vein and esophageal transection.
3.
The abdominal operation consists of a splenectomy, devascularization of the abdominal esophagus and cardia, and a selective vagotomy with pyloroplasty.
4.
3 . "'Ischemic necrosis secondary to devascularization "': One study showed that blood flow can be disrupted from dissecting.
5.
Once devascularization is complete, the esophagus is clamped in two areas with esophageal clamps, and esophageal transection is done at the level of the diaphragm.
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