| Portal flow and hepatic function after splenectomy and esophagogastric devascularization. | |
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MedLine Citation:
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PMID: 20085039 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We studied 27 patients who had mansonic schistosomiasis and portal hypertension with previous episodes of digestive bleeding from esophageal varices. According to the routine of the Liver and Portal Hypertension Unit of the Faculty of Medical Sciences-Santa Casa de S?o Paulo, these patients underwent surgical treatment that consisted of azygoportal disconnection and splenectomy. The goal of this study was to analyze the developmental profile of portal flow and hepatic function using Doppler ultrasound and the Child-Turcotte-Pugh criteria, respectively, in the pre- and postoperatory stages, in a 3-year period. The results showed a significant 27% reduction of the portal blood flow in the recent postoperatory period and up to 37% in the first to the second year after surgery, remaining stable after this period. We observed that all patients presented with good hepatic functional reserve in the preoperatory period, with no hepatic alteration in the postoperatory period. We conclude that, despite the reduction of portal flow in response to surgery, there was no deterioration of hepatic function. |
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Authors:
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Darcy L M Carvalho; Armando Capua; Pedro L S Leme |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International surgery Volume: 93 ISSN: 0020-8868 ISO Abbreviation: Int Surg Publication Date: 2008 Nov-Dec |
Date Detail:
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Created Date: 2010-01-20 Completed Date: 2010-02-19 Revised Date: - |
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: 314-20 Citation Subset: IM |
Affiliation:
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Surgery Department, Santa Casa S?o Paulo Faculty of Medical Sciences, S?o Paulo, Brazil. lauga@terra.com.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Flow Velocity Hepatic Artery / physiopathology, ultrasonography Hepatic Veins / physiopathology, ultrasonography Humans Hypertension, Portal / complications Liver / physiopathology* Portal System / physiopathology*, surgery*, ultrasonography Postoperative Period Schistosomiasis mansoni / complications, physiopathology*, surgery*, ultrasonography Splenectomy* Splenic Vein / physiopathology, ultrasonography Ultrasonography, Doppler |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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