Abstract | PURPOSE: METHODS: Sixteen patients with schistosomal portal hypertension and previous history of upper digestive bleeding due to esophageal varices rupture underwent elective esophagogastric devascularization and splenectomy and were prospectively studied. All patients underwent intraoperative invasive hemodynamic portal monitoring with a 4F-thermodilution catheter. The intraoperative portal hemodynamic assessment was conducted after laparotomy (initial) and after esophagogastric devascularization (final). RESULTS: The initial portal pressure was elevated (mean 28.5 +/- 4.5 mm Hg), and a significant drop of 25% was observed at the end of the surgery (21.9 +/- 4.9 mm Hg). The initial portal flow was elevated (mean 1766.9 +/- 686.6 mL/min). A significant fall (42%) occurred at the end of the surgical procedure (1025.62 +/- 338.7 mL/min). Fourteen patients (87.5%) presented a portal flow of more than 1200 mL/min, and in 5 cases, values greater than 2000 mL/min were observed. CONCLUSIONS:
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Authors | Roberto de Cleva, William Abrão Saad, Paulo Herman, Vincenzo Pugliese, Bruno Zilberstein, Antonio Atílio Laudanna, Joaquim José Gama-Rodrigues |
Journal | Revista do Hospital das Clinicas
(Rev Hosp Clin Fac Med Sao Paulo)
Vol. 59
Issue 1
Pg. 10-4
(Jan 2004)
ISSN: 0041-8781 [Print] Brazil |
PMID | 15029280
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Female
- Hemodynamics
- Humans
- Hypertension, Portal
(etiology, physiopathology, surgery)
- Liver Diseases, Parasitic
(complications, physiopathology, surgery)
- Male
- Middle Aged
- Portal Pressure
- Portal System
(physiopathology)
- Prospective Studies
- Schistosomiasis mansoni
(complications, physiopathology, surgery)
- Splenic Diseases
(complications, physiopathology, surgery)
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