Article
Surgical Indication in Schistosomiasis Mansoni Portal Hypertension - Follow-up from 1985 to 2001
Registro en:
CONCEIÇÃO, Maria José et al. Surgical Indication in Schistosomiasis Mansoni Portal Hypertension - Follow-up from 1985 to 2001. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 97, Suppl. 1, p. 165-166, 2002.
0074-0276
10.1590/S0074-02762002000900031
1678-8060
Autor
Conceição, Maria José
Argento, Carlos Alberto
Vieira, Orlando Marques
Takyia, Cristina Maeda
Chagas, Vera Lúcia A.
Resumen
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 posttreatment varices. The authors emphasize the benefits of elective surgical indication allowing a normal active life.