Gastro-esophageal decongestion and splenectomy GEDS (Hassab), in the management of bleeding varices. Review of literature.

@article{Hassab1998GastroesophagealDA,
  title={Gastro-esophageal decongestion and splenectomy GEDS (Hassab), in the management of bleeding varices. Review of literature.},
  author={Mohammed Hassab},
  journal={International surgery},
  year={1998},
  volume={83 1},
  pages={38-41}
}
The use of Doppler flowmetry proved the importance of hypervolemia in bleeding and showed that GEDS enhances liver perfusion confirming our findings in the Sixties. Perhiatal devascularization of lower 3-4 inches of the esophagus, complete separation of the stomach from its bed, ligation of the left gastric artery at the lesser curvature, peritonization of greater curvature, nursing the patient on his right side, suction drainage of the splenic bed, and early respiratory exercises are essential… CONTINUE READING
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