Preoperative predictors of portal vein thrombosis after splenectomy with periesophagogastric devascularization.

World Journal of Gastroenterology : WJG
Yu ZhangGuan-Lin Liang

Abstract

To evaluate the predictive value of preoperative predictors for portal vein thrombosis (PVT) after splenectomy with periesophagogastric devascularization. In this prospective study, 69 continuous patients with portal hypertension caused by hepatitis B cirrhosis underwent splenectomy with periesophagogastric devascularization in West China Hospital of Sichuan University from January 2007 to August 2010. The portal vein flow velocity and the diameter of portal vein were measured by Doppler sonography. The hepatic congestion index and the ratio of velocity and diameter were calculated before operation. The prothrombin time (PT) and platelet (PLT) levels were measured before and after operation. The patients' spleens were weighed postoperatively. The diameter of portal vein was negatively correlated with the portal vein flow velocity (P < 0.05). Thirty-three cases (47.83%) suffered from postoperative PVT. There was no statistically significant difference in the Child-Pugh score, the spleen weights, the PT, or PLT levels between patients with PVT and without PVT. Receiver operating characteristic curves showed four variables (portal vein flow velocity, the ratio of velocity and diameter, hepatic congestion index and diameter of port...Continue Reading

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Dec 19, 2002·American Journal of Surgery·Emily R WinslowMary E Klingensmith
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Citations

Sep 2, 2015·Expert Review of Gastroenterology & Hepatology·Xingshun QiXiaozhong Guo
Mar 10, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Guo-Qing JiangXue-Hao Wang
Apr 12, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Guo-Qing JiangDou-Sheng Bai
Jun 13, 2015·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Yan-Bin NiJi-Ye Zhu
Jul 29, 2016·World Journal of Surgical Oncology·Kunpeng HuBo Liu
Jun 2, 2017·World Journal of Gastroenterology : WJG·Wei WeiZong-Fang Li
Apr 3, 2019·Experimental and Therapeutic Medicine·Yasir Furkan CaginMurat Harputluoglu

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