| Effect of gastro-esophageal decongestion on variceal pressure in patients with schistosomal hepatic fibrosis. | |
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MedLine Citation:
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PMID: 8063559 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study includes 60 patients having schistosomal hepatic fibrosis and esophageal varices. Splenectomy alone was done for 14 patients having no history of haematemesis and gastroesophageal decongestion with splenectomy was done for the remaining 46 patients with history of haematemesis. Endoscopic variceal pressure measurements were done to all of them peroperatively and 21 days postoperatively. 17 patients, 7 after splenectomy and 10 after gastro-esophageal decongestion, were followed for 18 months post operatively. 21 days postsplenectomy, the variceal pressure dropped insignificantly from 38.09 to 33.27 cm H2O. During the following 18 months, three patients out of seven showed significant increase in variceal pressure. After decongestion with splenectomy, the mean variceal pressure dropped significantly from 42.03 to 29.17 cm H2O. For the 10 patients followed for 18 months, eight of them retained their variceal pressure as low as early postoperative figures. Thus gastro-esophageal decongestion with splenectomy is effective in reducing variceal pressure and in so doing it is better than splenectomy alone. |
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Authors:
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M A el-Gendi; Z A Azzam; K Karara; T el-Rakshy; H A el-Hammadi; A Abu-Nasr; R Mosimann |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International surgery Volume: 79 ISSN: 0020-8868 ISO Abbreviation: Int Surg Publication Date: 1994 Jan-Mar |
Date Detail:
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Created Date: 1994-09-19 Completed Date: 1994-09-19 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0043524 Medline TA: Int Surg Country: ITALY |
Other Details:
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Languages: eng Pagination: 68-71 Citation Subset: IM |
Affiliation:
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Department of Surgery, Alexandria University Hospital, Egypt. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Esophageal and Gastric Varices / physiopathology, surgery* Esophagus / blood supply Female Gastrointestinal Hemorrhage / physiopathology, surgery* Humans Liver Cirrhosis / parasitology, physiopathology, surgery* Male Pressure Schistosomiasis / complications, physiopathology, surgery Splenectomy* Stomach / blood supply |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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