Late results of esophagogastric devascularization and splenectomy associated with endoscopic treatment in patients with schistosomiasis
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Data
2015
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Resumo
Background: Schistosomiasis is endemic problem in Brazil affecting about three to
four million people, and digestive hemorrhage caused by esophageal varices rupture is the main
complication of the disease. Surgical treatment has become a therapeutic option, especially
for secondary prophylaxis after at least one episode of bleeding. The surgical technique
used by the vast majority of surgeons for the prevention of rebleeding is esophagogastric
devascularization and splenectomy. Although with good postoperative results, rebleeding rate
is significant, showing the need to follow-up endoscopy in all patients. Aim: To evaluate long-
term results of patients submitted to esophagogastric devascularization and splenectomy and
postoperative endoscopic treatment regarding esophageal varices caliber and rebleeding rates.
Methods: A retrospective study of 12 patients underwent esophagogastric devascularization
and splenectomy followed for more than five years. Results: All patients showed varices size
reduction, and no patient had postoperative bleeding recurrence. Conclusion: Esophagogastric
devascularization and splenectomy decreased significantly the esophageal variceal size when
associated with endoscopic follow-up, being effective for bleeding recurrence prophylaxis.
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Palavras-chave
Schistosomiasis, Esophageal and gastric varices, Portal hypertension, Surgery, Esquistossomose, Hipertensão portal, Cirurgia, Varizes esofágicas e gástricas
Citação
SILVA-NETO, Walter de Biase da; QUIREZE-JÚNIOR, Claudemiro; TREDICCI, Thiago Miranda. Late results of esophagogastric devascularization and splenectomy associated with endoscopic treatment in patients with schistosomiasis. ABCD: arquivos brasileiros de cirurgia digestiva, São Paulo, v. 28, n. 3, p. 197-199, 2015.