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Safety and Efficacy of a Novel Shunt Surgery Combined with Foam Sclerotherapy of Varices for Prehepatic Portal Hypertension: A Pilot Study
- Source :
- Clinics; v. 74 (2019); e704, Clinics; Vol. 74 (2019); e704, Clinics, Universidade de São Paulo (USP), instacron:USP, Clinics, Vol 74
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- OBJECTIVES: This pilot study investigated the safety and efficacy of a novel shunt surgery combined with foam sclerotherapy of varices in patients with prehepatic portal hypertension. METHODS: Twenty-seven patients who were diagnosed with prehepatic portal hypertension and underwent shunt surgeries were divided into three groups by surgery type: shunt surgery alone (Group A), shunt surgery and devascularization (Group B), and shunt surgery combined with foam sclerotherapy (Group C). Between-group differences in operation time, intraoperative blood loss, portal pressure decrease, postoperative complications, rebleeding rates, encephalopathy, mortality rates and remission of gastroesophageal varices were compared. RESULTS: Groups A, B and C had similar operation times, intraoperative bleeding, and portal pressure decrease. The remission rates of varices differed significantly (p
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Portal venous pressure
Encephalopathy
Pilot Projects
Postoperative Hemorrhage
030204 cardiovascular system & hematology
Esophageal and Gastric Varices
Group B
Young Adult
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Hypertension, Portal
Sclerotherapy
Shunt Surgery
Humans
Medicine
030212 general & internal medicine
Child
Intraoperative Complications
Retrospective Studies
lcsh:R5-920
business.industry
Mortality rate
General Medicine
Middle Aged
Gastroesophageal Varices
medicine.disease
Shunt (medical)
Surgery
Prehepatic Portal Hypertension
Portal hypertension
Original Article
Female
Gastrointestinal Hemorrhage
lcsh:Medicine (General)
business
Varices
Foam Sclerotherapy
Subjects
Details
- ISSN :
- 18075932 and 19805322
- Volume :
- 74
- Database :
- OpenAIRE
- Journal :
- Clinics
- Accession number :
- edsair.doi.dedup.....2323efaead6d89b6ad34e50563b133c7