دورية أكاديمية
Trashepatic left gastric vein embolization in the treatment of recurrent hemorrhaging in patients with schistosomiasis previously submitted to non-derivative surgery.
| العنوان: | Trashepatic left gastric vein embolization in the treatment of recurrent hemorrhaging in patients with schistosomiasis previously submitted to non-derivative surgery. |
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| المؤلفون: | Saad PF; Vale do São Francisco Federal University, Petrolina, PE, Brazil. paulosaad@yahoo.com.br, Razuk A, Telles GJ, Park JH, Esteves FP, Caffaro RA |
| المصدر: | Arquivos de gastroenterologia [Arq Gastroenterol] 2012 Dec; Vol. 49 (4), pp. 238-44. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia Country of Publication: Brazil NLM ID: 15310600R Publication Model: Print Cited Medium: Internet ISSN: 1678-4219 (Electronic) Linking ISSN: 00042803 NLM ISO Abbreviation: Arq Gastroenterol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: São Paulo, Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia. |
| مواضيع طبية MeSH: | Embolization, Therapeutic*, Esophageal and Gastric Varices/*therapy , Gastrointestinal Hemorrhage/*therapy , Hypertension, Portal/*complications , Schistosomiasis mansoni/*complications, Adult ; Esophageal and Gastric Varices/complications ; Esophageal and Gastric Varices/surgery ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/surgery ; Humans ; Hypertension, Portal/parasitology ; Recurrence ; Retrospective Studies ; Stomach/blood supply ; Treatment Outcome ; Veins |
| مستخلص: | Context: Non-derivative surgical techniques are the treatment of choice for the control of upper digestive tract hemorrhages after schistosomotic portal hypertension. However, recurrent hemorrhaging due to gastroesophagic varices is frequent. Objective: To evaluate the outcome of treatment based on embolization of the left gastric vein to control the reoccurrence of hemorrhages caused by gastroesophagic varices in patients with schistosomiasis previously submitted to non-derivative surgery. Methods: Rates of reoccurrence of hemorrhages and the qualitative and quantitative reduction of gastroesophagic varices in patients undergoing transhepatic embolization of the left gastric vein between December 1999 and January 2009 were studied based on medical charts and follow-up reports. Results: Seven patients with a mean age of 39.3 years underwent percutaneous transhepatic embolization of the left gastric vein. The mean time between azigoportal disconnections employed in combination with splenectomy and the percutaneous approach was 8.4 ± 7.3 years, and the number of episodes of digestive hemorrhaging ranged from 1 to 7 years. No episodes of reoccurrence of hemorrhaging were found during a follow-up period which ranged from 6 months to 7 years. Endoscopic postembolization studies revealed reductions in gastroesophagic varices in all patients compared to preembolization endoscopy. Conclusions: Percutaneous transhepatic embolization of the left gastric vein in patients with schistosomiasis previously submitted to surgery resulted in a decrease in gastroesophagic varices and was shown to be effective in controlling hemorrhage reoccurrence. |
| تواريخ الأحداث: | Date Created: 20130119 Date Completed: 20130605 Latest Revision: 20191112 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1590/s0004-28032012000400002 |
| PMID: | 23329216 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1678-4219 |
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| DOI: | 10.1590/s0004-28032012000400002 |