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Effects of esophageal transection combined with splenectomy on portal hemodynamics.
Am J Gastroenterol. 1987 Jan; 82(1):16-9.AJ

Abstract

Portal hemodynamics were studied in 69 patients with cirrhosis and 29 patients with idiopathic portal hypertension to investigate the effects of an operative procedure for varices that consists of transabdominal esophageal mucosal transection, paraesophagogastric devascularization, pyloroplasty, and splenectomy. Portal venous flow measured by the pulsed Doppler flowmeter in 14 patients with cirrhosis and nine patients with idiopathic portal hypertension, who underwent operation 2-5 yr earlier, was significantly reduced compared with that in unoperated 49 patients with cirrhosis and 17 patients with idiopathic portal hypertension who had esophageal varices (410 +/- 158 versus 660 +/- 263 ml/min in cirrhosis; 443 +/- 185 versus 912 +/- 189 ml/min in idiopathic portal hypertension). In nine patients (six cirrhosis, three idiopathic portal hypertension), portal venous flow and portal vein pressure were measured before and after operation. In patients with cirrhosis, portal vein pressure did not change significantly postoperatively even though portal venous flow was reduced. In contrast, portal vein pressure decreased in two patients with idiopathic portal hypertension in whom portal venous flow was reduced. Portal vein pressure was elevated in one patient with idiopathic portal hypertension in whom portal venous flow was increased postoperatively as a result of resection of a large gastro- and splenorenal shunt conducted additionally.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3799575

Citation

Saito, M, et al. "Effects of Esophageal Transection Combined With Splenectomy On Portal Hemodynamics." The American Journal of Gastroenterology, vol. 82, no. 1, 1987, pp. 16-9.
Saito M, Ohnishi K, Tanaka H, et al. Effects of esophageal transection combined with splenectomy on portal hemodynamics. Am J Gastroenterol. 1987;82(1):16-9.
Saito, M., Ohnishi, K., Tanaka, H., Sato, S., Okuda, K., Hirashima, T., & Hara, T. (1987). Effects of esophageal transection combined with splenectomy on portal hemodynamics. The American Journal of Gastroenterology, 82(1), 16-9.
Saito M, et al. Effects of Esophageal Transection Combined With Splenectomy On Portal Hemodynamics. Am J Gastroenterol. 1987;82(1):16-9. PubMed PMID: 3799575.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of esophageal transection combined with splenectomy on portal hemodynamics. AU - Saito,M, AU - Ohnishi,K, AU - Tanaka,H, AU - Sato,S, AU - Okuda,K, AU - Hirashima,T, AU - Hara,T, PY - 1987/1/1/pubmed PY - 1987/1/1/medline PY - 1987/1/1/entrez SP - 16 EP - 9 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 82 IS - 1 N2 - Portal hemodynamics were studied in 69 patients with cirrhosis and 29 patients with idiopathic portal hypertension to investigate the effects of an operative procedure for varices that consists of transabdominal esophageal mucosal transection, paraesophagogastric devascularization, pyloroplasty, and splenectomy. Portal venous flow measured by the pulsed Doppler flowmeter in 14 patients with cirrhosis and nine patients with idiopathic portal hypertension, who underwent operation 2-5 yr earlier, was significantly reduced compared with that in unoperated 49 patients with cirrhosis and 17 patients with idiopathic portal hypertension who had esophageal varices (410 +/- 158 versus 660 +/- 263 ml/min in cirrhosis; 443 +/- 185 versus 912 +/- 189 ml/min in idiopathic portal hypertension). In nine patients (six cirrhosis, three idiopathic portal hypertension), portal venous flow and portal vein pressure were measured before and after operation. In patients with cirrhosis, portal vein pressure did not change significantly postoperatively even though portal venous flow was reduced. In contrast, portal vein pressure decreased in two patients with idiopathic portal hypertension in whom portal venous flow was reduced. Portal vein pressure was elevated in one patient with idiopathic portal hypertension in whom portal venous flow was increased postoperatively as a result of resection of a large gastro- and splenorenal shunt conducted additionally. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/3799575/Effects_of_esophageal_transection_combined_with_splenectomy_on_portal_hemodynamics_ L2 - https://medlineplus.gov/cirrhosis.html DB - PRIME DP - Unbound Medicine ER -