[The value of oesophageal transection and staple gun anastomosis in the elective or emergency treatment of esophageal varices bleeding].

The transabdominal extensive oesophagogastric devascularization with gastroesophageal stapling, known as modified Sugiura procedure, together with other nonshuting operations are widely performed as the operations of choice for bleeding oesophageal varices, world-wide when the non surgical hemostatic procedure are not suitable. We present our experience in 10 selected cases, which have been operated on since 1994 till now in our unit, 6 elective and 4 as emergency, using the stapling technique of oesophageal transection. The results were good with no recurrence of re-bleeding in the postoperative period, with 1 death due to acute liver failure. We consider this procedure a good alternative, which remains the ultimate direct operation to control the variceal bleeding due to portal hypertension despite of many other procedures used to get the hemostasis in these cases of upper digestive tract bleeding due to portal hypertension.