2000 Volume 11 Issue 3 Pages 253-258
By left gastric venous caval shunt (LGCS) using a ringed expanded polytetrafluoroethylene (ePTFE) prosthetic graft, we have successfully treated a patients who had been suffering from esophageal varices due to idiopathic portal hypertension. Follow-up endoscopic examination of the esophagus and CT scan were performed postoperatively, which showed marked reduction in the size of the varices. Although LGCS has been recognized as to be technically difficult up to the present, this procedure may be safely performed by the use of ringed vascular graft, with a satisfactory result.