| Therapeutic effects of endoscopic variceal ligation combined with partial splenic embolization for portal hypertension. | |
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MedLine Citation:
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PMID: 15052697 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To evaluate the feasibility of a new strategy of endoscopic variceal ligation combined with partial splenic embolization (EVL-PSE) for patients with cirrhosis and portal hypertension. METHODS: From May 1999 to May 2002, 41 cases with cirrhosis and portal hypertension underwent EVL-PSE. Hemodynamics of the main portal vein (MPV), the left gastric vein (LGV) and azygos vein, including maximum velocity, flow rate and vein diameter, were assessed by Doppler ultrasonography. RESULTS: One case died from pulmonary artery embolism. One case complicated with splenic abscess was successfully managed by laparotomy. The esophageal varices and hypersplenism were well controlled after EVL-PSE in other patients. After EVL-PSE, the flow rate and velocity of MPV was significantly reduced (P<0.05), as well as the flow rate of the LGV and azygos vein. During the follow-up, no recurrent bleeding was found. CONCLUSION: Being more convenient and less invasive, EVL-PSE is hopeful to be a proper intervention strategy for portal hypertensive patients with impaired hepatic function or those intolerant to shunting or devascularization surgery. |
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Authors:
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Rui-Yun Xu; Bo Liu; Nan Lin |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 10 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2004 Apr |
Date Detail:
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Created Date: 2004-03-30 Completed Date: 2004-05-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 1072-4 Citation Subset: IM |
Affiliation:
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Department of General Surgery, The Third Affiliated Hospital, Sun-Yet-San University, Guangzhou 510630, Guangdong Province, China. xuruiyun@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Embolization, Therapeutic* Endoscopy, Digestive System* Esophageal and Gastric Varices / surgery* Feasibility Studies Female Humans Hypertension, Portal / complications, therapy* Ligation Liver Cirrhosis / complications Male Middle Aged Spleen / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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