[Portal thrombosis: early complication of azygo-portal disconnection in the treatment of bleeding esophageal varices].
The authors studied 30 patients with bleeding from esophageal varices due to portal hypertension. They underwent the disconnection of portal and azygos veins and splenectomy. The immediate postoperative complications were: portal thrombosis in four patients (13.3%); subphrenic abscess in two (6.6%); pulmonary embolism in one (3.3%) and esophageal perforation in one (3.3%). The manifestations of portal thrombosis were ascites, and fever (without leukocytosis). One patient with portal thrombosis who had intractable ascite was submitted to peritoneovenous shunting.
Chaib
E
E
Serviço de Cirurgia do Fígado e de Transplante de Orgãos, Departamento de Gastroenterologia do HC@FMUSP.
Pugliesi
V
V
Capacci
M de L
Mde L
D'Albuquerque
L C
LC
Widman
A
A
Bernardini
A P
AP
Silva
A de O
Ade O
Saad
W A
WA
Machado
M C
MC
Pinotti
H W
HW
D000293:Adolescent; D000328:Adult; D001401:Azygos Vein / Q000601:surgery; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000601:surgery; D011183:Postoperative Complications; D013927:Thrombosis / Q000209:etiology*
Trombose portal: complicação precoce da desconexão ázigo-portal no tratamento das varizes esofagianas sangrantes.