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Abstract In our work we managed the bleeding esophageal varices by splenectomy and per-operative injection of sclerosant material into the ascending branch of the left gastric vein as a trial for catching a new method for management of those unlikely patients with the least postoperative complications. Different trials were currently used in the surgical management of bleeding esophageal varices. Many workers stated that devascularization operation with or without injection of sclerosing material may be more superior to portasystemic shunt operation. This may be due to tha fact that severe liver dysfunction and encephalopathy do not occur after splenectomy with devascularization or injection of scelerosing material. In this work, a new surgical approach was performed in an attempt to reach the best line of treating esophageal varices, were splenectomy compined with intraoperative injection sclerotherapy of the ascending branch of the left gastric vein was performed in thirty patients. The patients were evaluated clinically, biochemically, endoscopically and radiologically, every 4 months after the operation for two years. |