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Case Reports
July 1938

SPLENECTOMY AND LIGATION OF GASTRIC CORONARY VESSELS: EFFECT ON ESOPHAGEAL VARICES IN A CASE OF BANTI'S SYNDROME WITH EARLY HEMATEMESIS

Author Affiliations

PHILADELPHIA
John Berton Carnett Fellow in Surgical Research.; From the Surgical and Pediatric Clinics of the Hospital of the University of Pennsylvania and the Harrison Department of Surgical Research, University of Pennsylvania.

Am J Dis Child. 1938;56(1):119-125. doi:10.1001/archpedi.1938.01980130128012
Abstract

Objective evidence that esophageal varices occurring in Banti's syndrome can be reduced in size by splenectomy and ligation of the gastric coronary vessels has not been presented. Such evidence was obtained both roentgenographically and endoscopically in the case to be reported.

The surgical procedure differed from the usual one in that the coronary artery of the stomach was ligated as well as the coronary vein in order to reduce further the load on the varicosed esophageal veins.

REPORT OF A CASE  The patient, a boy of 7 years, was admitted to the pediatric ward of the Hospital of the University of Pennsylvania to the service of Dr. J. C. Gittings on Feb. 23, 1936, for treatment of hematemesis. Massive hematemesis had occurred in August 1935.Little is known of the patient's antecedents. The mother was mentally defective. The boy was born at term by spontaneous delivery and appeared to be

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