Splenectomy and esophagogastric devascularization for advanced schistosomiasis with cavernous transformation of portal vein

To explore a surgical treatment of advanced schistosomiasis with cavernous transformation of the portal vein. The clinical data of 18 patients who suffered from advanced schistosomiasis with cavernous transformation of the portal vein were collected and analyzed retrospectively in the Affiliated Xia...

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Published inZhongguo xue xi chong bing fang zhi za zhi Vol. 25; no. 6; p. 649
Main Authors Luo, Feng-Qiu, Liu, Jia-Xin, Pan, Ge, Wang, Peng, Ding, Guo-Jian, Deng, Wei-Cheng
Format Journal Article
LanguageChinese
Published China 01.12.2013
Subjects
Adolescent
Adult
Esophagus - blood supply
Female
Humans
Hypertension, Portal - surgery
Male
Middle Aged
Portal Vein - pathology
Retrospective Studies
Schistosomiasis - complications
Schistosomiasis - surgery
Splenectomy - methods
Stomach - blood supply
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Summary:To explore a surgical treatment of advanced schistosomiasis with cavernous transformation of the portal vein. The clinical data of 18 patients who suffered from advanced schistosomiasis with cavernous transformation of the portal vein were collected and analyzed retrospectively in the Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases. Two cases were undertaken the endoscopic variceal ligation, and the upper gastrointestinal bleeding happened 32 months and 40 months after the treatment respectively, and they received the splenectomy and esophagogastric devascularization again; 16 cases were undertaken the splenectomy and esophagogastric devascularization. During the follow-up of 6-72 months, no esophageal and gastric varices were found. Splenectomy and esophagogastric devascularization is effective in the treatment of advanced schistosomiasis with cavernous transformation of the portal vein.
ISSN:1005-6661