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.
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.
Authors: Fabio Ferrari Makdissi; Paulo Herman; Vincenzo Pugliese; Roberto de Cleva; William Abrão Saad; Ivan Cecconello; Luiz Augusto Carneiro D'Albuquerque Journal: World J Surg Date: 2010-11 Impact factor: 3.352
Authors: Roberto de Cleva; Paulo Herman; William Abrão Saad; Vincenzo Pugliese; Bruno Zilberstein; Joaquim José Gama Rodrigues; Antonio Atílio Laudanna Journal: Hepatogastroenterology Date: 2005 Sep-Oct
Authors: Fabricio Ferreira Coelho; Marcos Vinícius Perini; Jaime Arthur Pirola Kruger; Gilton Marques Fonseca; Raphael Leonardo Cunha de Araújo; Fábio Ferrari Makdissi; Renato Micelli Lupinacci; Paulo Herman Journal: Arq Bras Cir Dig Date: 2014 Apr-Jun
Authors: Roberto de Cleva; Paulo Herman; Luis Augusto Carneiro D'albuquerque; Vincenzo Pugliese; Orlando Luis Santarem; William Abrão Saad Journal: World J Gastroenterol Date: 2007-11-07 Impact factor: 5.742
Authors: Francesca Tamarozzi; Veronica A Fittipaldo; Hans Martin Orth; Joachim Richter; Dora Buonfrate; Niccolò Riccardi; Federico G Gobbi Journal: PLoS Negl Trop Dis Date: 2021-03-25