Management of Bleeding in Extrahepatic Portal Venous Obstruction
Joint Authors
Mehrotra, S.
Srivastava, M.
Chaudhary, N.
Nundy, Samiran
Source
International Journal of Hepatology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-25
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Extrahepatic portal venous obstruction, although rare in the western world, is a common cause of major and life threatening upper gastrointestinal bleeding among the poor in developing countries.
Patients have large spleens and stunted growth.
The diagnosis is easily confirmed by Doppler ultrasonography.
Endoscopy sclerotherapy is the best option for the control of acute variceal bleeding.
For secondary prophylaxis of bleeding, the choice lies between repeated sclerotherapy and a portosystemic shunt.
We believe that due consideration should be given to performing a splenectomy and a lienorenal shunt.
Performed by experienced surgeons, it carries a low operative mortality of 1%, a rebleeding rate of about 10%, removes the large spleen, reverses hypersplenism, and is not followed by portosystemic encephalopathy.
Most importantly, it is a onetime procedure particularly suited to those who have little access to blood transfusion and sophisticated medical facilities.
American Psychological Association (APA)
Chaudhary, N.& Mehrotra, S.& Srivastava, M.& Nundy, Samiran. 2013. Management of Bleeding in Extrahepatic Portal Venous Obstruction. International Journal of Hepatology،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-497862
Modern Language Association (MLA)
Chaudhary, N.…[et al.]. Management of Bleeding in Extrahepatic Portal Venous Obstruction. International Journal of Hepatology No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-497862
American Medical Association (AMA)
Chaudhary, N.& Mehrotra, S.& Srivastava, M.& Nundy, Samiran. Management of Bleeding in Extrahepatic Portal Venous Obstruction. International Journal of Hepatology. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-497862
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497862