Surgical Indication in Schistosomiasis Mansoni Portal Hypertension - Follow-up from 1985 to 2001

dc.creatorConceição, Maria José
dc.creatorArgento, Carlos Alberto
dc.creatorVieira, Orlando Marques
dc.creatorTakyia, Cristina Maeda
dc.creatorChagas, Vera Lúcia A.
dc.date2020-10-27T19:08:44Z
dc.date2020-10-27T19:08:44Z
dc.date2002
dc.date.accessioned2023-09-26T21:06:12Z
dc.date.available2023-09-26T21:06:12Z
dc.identifierCONCEIÇÃO, 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.
dc.identifier0074-0276
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/44239
dc.identifier10.1590/S0074-02762002000900031
dc.identifier1678-8060
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8869189
dc.descriptionThe 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.
dc.formatapplication/pdf
dc.languageeng
dc.publisherFundação Oswaldo Cruz. Instituto Oswaldo Cruz.
dc.rightsopen access
dc.subjectEsquistossomose mansoni
dc.subjectHipertensão portal
dc.subjectIndicação cirúrgica
dc.subjectEvolução
dc.subjectVarizes do esôfago
dc.subjectSchistosomiasis mansoni
dc.subjectPortal hypertension
dc.subjectSurgical indication
dc.subjectEvolution
dc.subjectEsophageal varices
dc.titleSurgical Indication in Schistosomiasis Mansoni Portal Hypertension - Follow-up from 1985 to 2001
dc.typeArticle


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