This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Randomized trials of endoscopic therapy and transjugular intrahepatic portosystemic shunt versus portacaval shunt for emergency and elective treatment of bleeding gastric varices in cirrhosis. Surgery 2015; 157: 1028–1045.

Published: 27th August 2015

Authors: Orloff MJ, Hye RJ, Wheeler HO, Isenberg JI, Haynes KS, Vaida F et al. et al.

Conclusion

This report concerns two consecutive trials looking at bleeding gastric varices. Permanent control of bleeding was achieved in 97-100 per cent of those who had portacaval shunting versus 27-29 per cent who had endoscopic therapy and only 6 per cent who had transjugular intrahepatic portosystemic shunting.

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