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

Abstract

OBJECTIVE:

To explore a surgical treatment of advanced schistosomiasis with cavernous transformation of the portal vein.

METHOD:

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.

RESULTS:

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.

CONCLUSION:

Splenectomy and esophagogastric devascularization is effective in the treatment of advanced schistosomiasis with cavernous transformation of the portal vein.

• Authors: Feng-Qiu Luo, Jia-Xin Liu, Ge Pan, Peng Wang, Guo-Jian Ding, Wei-Cheng Deng
• Journal: Zhongguo xue xi chong bing fang zhi za zhi = Chinese journal of schistosomiasis control (Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi) Vol. 25 Issue 6 Pg. 649-51 (Dec 2013) ISSN: 1005-6661 [Print] China
• PMID: 24490407 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Esophagus (blood supply)
• Female
• Humans
• Hypertension, Portal (surgery)
• Male
• Middle Aged
• Portal Vein (pathology)
• Retrospective Studies
• Schistosomiasis (complications, surgery)
• Splenectomy (methods)
• Stomach (blood supply)