Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001
The study had the objective to evaluate the benefits of surgical indication for portal hypertension in schistosomiasis patients followed from 1985 to 2001. Schistosoma mansoni eggs were confirmed by at least six stool examinations or rectal biopsy. Clinical examination, abdominal ultrasonography, an...
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| Format: | Article |
| Language: | English |
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Fundação Oswaldo Cruz (FIOCRUZ)
2002-10-01
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| Series: | Memorias do Instituto Oswaldo Cruz |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762002000900031 |
| _version_ | 1797715694509359104 |
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| author | Maria José Conceição Carlos Alberto Argento Orlando Marques Vieira Cristina Maeda Takiya Vera Lúcia A Chagas |
| author_facet | Maria José Conceição Carlos Alberto Argento Orlando Marques Vieira Cristina Maeda Takiya Vera Lúcia A Chagas |
| author_sort | Maria José Conceição |
| collection | DOAJ |
| description | The study had the objective to evaluate the benefits of surgical indication for portal hypertension in schistosomiasis patients followed from 1985 to 2001. Schistosoma mansoni eggs were confirmed by at least six stool examinations or rectal biopsy. Clinical examination, abdominal ultrasonography, and digestive endoscopy confirmed the diagnosis of esophageal varices. A hundred and two patients, 61.3% male (14-53 years old) were studied. Digestive hemorrhage, hypersplenism, left hypochondrial pain, abdominal discomfort, and hypogonadism were, in a decreasing order, the major signs and symptoms determining surgical indication. Among the surgical techniques employed, either splenectomy associated to splenorenal anastomosis or azigoportal desvascularization, esophageal gastric descompression and esophageal sclerosis were used. Follow-up of patients revealed that, independent on the technique utilized, a 9.9% of death occurred, caused mainly by digestive hemorrhage due to the persistence of post-treatment varices. The authors emphasize the benefits of elective surgical indication allowing a normal active life. |
| first_indexed | 2024-03-12T08:10:28Z |
| format | Article |
| id | doaj.art-1a983de1a3e84e9780e085fb96f14fa3 |
| institution | Directory Open Access Journal |
| issn | 0074-0276 1678-8060 |
| language | English |
| last_indexed | 2024-03-12T08:10:28Z |
| publishDate | 2002-10-01 |
| publisher | Fundação Oswaldo Cruz (FIOCRUZ) |
| record_format | Article |
| series | Memorias do Instituto Oswaldo Cruz |
| spelling | doaj.art-1a983de1a3e84e9780e085fb96f14fa32023-09-02T19:07:05ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602002-10-019716516610.1590/S0074-02762002000900031Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001Maria José ConceiçãoCarlos Alberto ArgentoOrlando Marques VieiraCristina Maeda TakiyaVera Lúcia A ChagasThe study had the objective to evaluate the benefits of surgical indication for portal hypertension in schistosomiasis patients followed from 1985 to 2001. Schistosoma mansoni eggs were confirmed by at least six stool examinations or rectal biopsy. Clinical examination, abdominal ultrasonography, and digestive endoscopy confirmed the diagnosis of esophageal varices. A hundred and two patients, 61.3% male (14-53 years old) were studied. Digestive hemorrhage, hypersplenism, left hypochondrial pain, abdominal discomfort, and hypogonadism were, in a decreasing order, the major signs and symptoms determining surgical indication. Among the surgical techniques employed, either splenectomy associated to splenorenal anastomosis or azigoportal desvascularization, esophageal gastric descompression and esophageal sclerosis were used. Follow-up of patients revealed that, independent on the technique utilized, a 9.9% of death occurred, caused mainly by digestive hemorrhage due to the persistence of post-treatment varices. The authors emphasize the benefits of elective surgical indication allowing a normal active life.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762002000900031schistosomiasis mansoniportal hypertensionsurgical indicationevolutionesophageal varices |
| spellingShingle | Maria José Conceição Carlos Alberto Argento Orlando Marques Vieira Cristina Maeda Takiya Vera Lúcia A Chagas Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001 Memorias do Instituto Oswaldo Cruz schistosomiasis mansoni portal hypertension surgical indication evolution esophageal varices |
| title | Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001 |
| title_full | Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001 |
| title_fullStr | Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001 |
| title_full_unstemmed | Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001 |
| title_short | Surgical indication in Schistosomiasis mansoni portal hypertension: follow-up from 1985 to 2001 |
| title_sort | surgical indication in schistosomiasis mansoni portal hypertension follow up from 1985 to 2001 |
| topic | schistosomiasis mansoni portal hypertension surgical indication evolution esophageal varices |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762002000900031 |
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