Avaliaçao crítica da cirurgia na hipertensao portal esquistossômica / Critical evaluation of surgical treatment of schistosomotic portal hypertension
Mem. Inst. Oswaldo Cruz
;
87(supl.4): 357-68, 1992. tab, ilus
Artículo
en Portugués
| LILACS
| ID: lil-125677
RESUMO
There are over 100.000 patients affected by schistosomotic portal hipertension, that may suffer rupture of the esophageal varices. Besides the portal hypertension, local factors must be emphazised as responsible for the three distal centimeters of the esophagus, called "zona vulnerável" (vulnerable zone). The beter liver functional reserve of these schistosomotic patients as compared to the cirrhotic, present two favorable condititions (1) beter possibility of conservative treatment during acute hemorrhage; (2) elective surgical treatment may be undergo without a mandatory step of large portal descompression. The Author only indicate surgical treatment in patients with hemorrhage antecedence and his preference consist in splenectomy plus obliterative suture of the varices at the "vulnerable zone" and when possible, ligature of left gastric vein also; 358 patients were undergone surgery with operative mortality 3.07%, 347 were followed during 1 to 25 years; late mortality 8.38%; recurrence hemorrage 11.58%; none porto-sustemic encephalopaty was observed
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Esquistosomiasis
/
Várices Esofágicas y Gástricas
/
Hipertensión Portal
Idioma:
Portugués
Revista:
Mem. Inst. Oswaldo Cruz
Asunto de la revista:
Medicina Tropical
/
Parasitología
Año:
1992
Tipo del documento:
Artículo
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