RESUMEN
Successful laparoscopic cholecystectomy has been reported in patients with cirrhosis of liver with portal hypertension; the procedure has, however, not been reported in patients with portal vein thrombosis, portal cavernoma and portal hypertension. We report an 18-year-old man with portal hypertension due to portal vein thrombosis and portal cavernoma who had symptomatic gallstone disease and was successfully treated with laparoscopic cholecystectomy.
Asunto(s)
Adolescente , Síndrome de Budd-Chiari/complicaciones , Colecistectomía Laparoscópica/métodos , Estudios de Seguimiento , Hemangioma Cavernoso/complicaciones , Humanos , Hipertensión Portal/complicaciones , Masculino , Vena Porta , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Thirty cases of uncomplicated duodenal ulcer treated by anterior superficial lesser curvature seromyotomy and posterior truncal vagotomy were studied to evaluate the efficacy of this procedure. There was completeness of vagotomy in all the cases as shown by endoscopic Congo Red test. Twenty-seven cases were asymptomatic at 1-48 months (Mean 22.3) follow up, while 3 patients had controllable side effects such as dumping and diarrhoea. There was no mortality. This procedure is safe, effective and is a favourable alternative to highly selective vagotomy.