PMID: 22569978May 10, 2012Paper

Splenectomy and gastric vein ligature in hepatosplenic schistosomiais: effects upon esophageal variceal pressure and endoscopic risk factors of esophageal variceal bleeding

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
João Evangelista-NetoCláudio Moura Lacerda

Abstract

A significant number of patients with schistosomiasis develop the hepatosplenic form, with portal hypertension, in which bleeding caused by rupture of esophagogastric varices emerged as the leading cause of morbidity and mortality. To investigate the effects of splenectomy and ligature of the left gastric vein on risk factors for bleeding of esophagogastric varices in patients with schistosomiasis mansoni, hepatosplenic form, with a history of upper gastrointestinal bleeding. The main risk factors of bleeding from esophagogastric varices were studied in 34 patients. The following parameters were investigated: 1) esophageal variceal pressure, measured by the endoscopic pneumatic balloon technique; 2) size, fundamental color, extension and red signs of esophageal varices, gastric varices and gastropathy of portal hypertension. The evaluations were performed in the preoperative period, immediate postoperative period (between the sixth and eighth postoperative days) and the sixth month of follow-up. The variceal pressure has fallen from 22.3+/-2.6 mmHg before surgery to 16.0+/-3.0 mmHg in the immediate postoperative period (p<0.001), reaching 13.3+/- 2.6 mmHg in the sixth month of follow-up. A significant reduction of the frequency...Continue Reading

References

Oct 13, 1988·The New England Journal of Medicine·UNKNOWN North Italian Endoscopic Club for the Study and Treatment of Esophageal Varices
Jul 1, 1988·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J BoschJ Rodés
Oct 1, 1984·World Journal of Surgery·S RaiaA L Macedo
Oct 7, 2000·Journal of Gastroenterology and Hepatology·J Fevery, F Nevens

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Citations

Nov 6, 2015·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Walter De Biase da Silva-NetoThiago Miranda Tredicci
Nov 6, 2013·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Aline Riquena da SilvaPedro Luiz Squilacci Leme
May 25, 2013·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·João Batista-NetoElton Elton Correa Alves

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